Shane Michael Larson in Watertown - Professional
Shane Michael Larson - NPI 1679655856
Shane Michael Larson is a Professional in Watertown, South Dakota. Shane Michael Larson practices all healthcare services and medical treatments related to Professional. The NPI Number for Shane Michael Larson is 1679655856. The last update date is 2017-04-24.
Shane Michael Larson's current location address is Po Box 1131, Watertown, South Dakota. You can contact this provider via phone number 6055200157. The mailing address for Shane Michael Larson is Po Box 1131, Watertown, South Dakota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Shane Michael Larson |
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Address | Po Box 1131, Watertown, South Dakota |
Phone Number | 6055200157 |
Fax Number | |
Sole Proprietor | Y |
Credentials | M.S., LPC- |
NPI Number Detail
NPI Number | 1679655856 |
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Provider Enumeration Date | 2006-10-19 |
Last Updated Date | 2017-04-24 |
Provider Mailing Address Detail
Address | Po Box 1131 |
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City | Watertown |
State | South Dakota (SD) |
Post Code | 572016131 |
Phone Number | 6055200157 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Professional |
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Taxonomy | 101Yp2500X |
Licence No | LPCMH2210 |
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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5200010 | SD | -- |
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What is the unique 10-digit identification code issued to Shane Michael Larson by the Centers for Medicare & Medicaid Services?
The Shane Michael Larson has been assigned the NPI (National Provider Identifier) 1679655856 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Shane Michael Larson's facilities are geographically located?
The facilities of Shane Michael Larson are physically situated at the following location: Po Box 1131, Watertown, SD, 572016131.
What is the area of specialization for Shane Michael Larson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shane Michael Larson is Professional, and the corresponding taxonomy code that categorizes this area of expertise is 101Yp2500X.
On what date did the Shane Michael Larson receive the assignment of its 1679655856 from the Centers for Medicare & Medicaid Services?
The Shane Michael Larson was issued its 1679655856 by the Centers for Medicare & Medicaid Services on 2006-10-19.
When was the information pertaining to Shane Michael Larson most recently updated or revised?
The details related to Shane Michael Larson, including its address, specialty, and other relevant information, were last updated or revised on 2017-04-24.