Larson, Ruth S

Larson, Ruth S is an individual health care provider with primary practice located at 620 10Th St Ste. 703, Niagara Falls NY 14301-1841. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Larson, Ruth S can be contacted via phone (716) 278-0150.

Contact Information

Primary practice address
620 10Th St Ste. 703 Niagara Falls NY 14301-1841
Phone: (716) 278-0150
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F303989 New York

Profile Details

NPI number 1952362956
LBN Legal business name Larson, Ruth S
Credentials Nurse Practitioner (NP)
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952362956 NPPES
New York MEDICAID 02635147

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