Larson, Joyce L

Larson, Joyce L is an individual health care provider with primary practice located at 506 1St Ave Se , Watertown SD 57201-4402. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Larson, Joyce L can be contacted via phone (605) 886-8482.

Contact Information

Primary practice address
506 1St Ave Se Watertown SD 57201-4402
Phone: (605) 886-8482
Fax: (605) 884-4300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 9179 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1019 South Dakota

Profile Details

NPI number 1710923594
LBN Legal business name Larson, Joyce L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Oct 31st, 2016 - about 9 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 1710923594 NPPES
Minnesota MEDICAID 182785500

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