Larson, Eugene H.

Larson, Eugene H. is an individual health care provider with primary practice located at 1000 N Oak Ave , Marshfield WI 54449-5703. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Larson, Eugene H. can be contacted via phone (715) 387-5245.

Contact Information

Primary practice address
1000 N Oak Ave Marshfield WI 54449-5703
Phone: (715) 387-5245
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 185 Wisconsin

Profile Details

NPI number 1003904087
LBN Legal business name Larson, Eugene H.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Jul 15th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003904087 NPPES
Wisconsin MEDICAID 42903900

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