Larson, Stanley Glenn
Larson, Stanley Glenn is an individual health care provider with primary practice located at 3898 W. 13400 So. Suite B., Riverton UT 84065-6038. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Larson, Stanley Glenn can be contacted via phone (801) 302-0660.Contact Information
Primary practice address
3898 W. 13400 So. Suite B.
Riverton UT 84065-6038
Phone: (801) 302-0660
Fax: (801) 302-2239
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 5052470-1202 | Utah |
Profile Details
| NPI number | 1194917898 |
|---|---|
| LBN Legal business name | Larson, Stanley Glenn |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2007 |
| Last updated | Aug 18th, 2015 - about 11 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 | 1194917898 | NPPES |
| Utah | Other | 5052470-1202 | D.C. |
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