Larson, Irene
Larson, Irene is an sole proprietor health care provider with primary practice located at 700 Katlian St Ste E , Sitka AK 99835-7359. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Larson, Irene can be contacted via phone (907) 747-5861.Contact Information
Primary practice address
700 Katlian St Ste E
Sitka AK 99835-7359
Phone: (907) 747-5861
Fax: (907) 747-5415
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 85 | Alaska |
Profile Details
| NPI number | 1699805861 |
|---|---|
| LBN Legal business name | Larson, Irene |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699805861 | NPPES |
| Alaska | MEDICAID | DT34621 |
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