Larson, Peter
Larson, Peter is an individual health care provider with primary practice located at 3525 E Louise Dr Ste 400 , Meridian ID 83642-6303. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Larson, Peter can be contacted via phone (208) 322-1680.Contact Information
Primary practice address
3525 E Louise Dr Ste 400
Meridian ID 83642-6303
Phone: (208) 322-1680
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 55261 | Idaho |
Profile Details
| NPI number | 1073053518 |
|---|---|
| LBN Legal business name | Larson, Peter |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2017 |
| Last updated | Dec 6th, 2021 - about 5 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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