Larson, Marcia H

Larson, Marcia H is an individual health care provider with primary practice located at 13400 E Shea Blvd , Scottsdale AZ 85259-5404. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Larson, Marcia H can be contacted via phone (480) 301-8000.

Contact Information

Primary practice address
13400 E Shea Blvd Scottsdale AZ 85259-5404
Phone: (480) 301-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 501282

Profile Details

NPI number 1689658171
LBN Legal business name Larson, Marcia H
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Oct 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689658171 NPPES
Arizona MEDICAID 909765
Arizona Other P00188897

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