Larson, Marlys J
Larson, Marlys J is an individual health care provider with primary practice located at 840 E University Ave , Des Moines IA 50316-2304. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Larson, Marlys J can be contacted via phone (515) 265-4211.Contact Information
Primary practice address
840 E University Ave
Des Moines IA 50316-2304
Phone: (515) 265-4211
Fax: (515) 309-5993
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 00112 | Iowa |
Profile Details
| NPI number | 1992766018 |
|---|---|
| LBN Legal business name | Larson, Marlys J |
| Credentials | LISW, MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Jul 8th, 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 | 1992766018 | NPPES |
| Iowa | MEDICAID | 96958 |
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