Marc Devries Larsen
Emergency Medical Services
4401 Wornall Rd
Kansas City
, Missouri 64111
Marc Devries Larsen
Emergency Medical Services
4401 Wornall Rd
Kansas City
, Missouri 64111
(616) 975-9827
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About
Features
Specialties
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Marc Devries Larsen
- Po Box 78009
- St Louis, MO
- Zip : 63178
- Fax : (616) 975-9827
- Phone : (616) 975-9824
Second Address
- Marc Devries Larsen
- 4401 Wornall Rd
- Kansas City, MO
- Zip : 64111
- Phone : (816) 932-2047
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PE0004X | Emergency Medical Services | 2006010971 | MO |
National Provider Identifier
| NPI | 1144236159 |
|---|---|
| Provider Name | Marc Devries Larsen |
| First Address | St Louis, MO 63178 |
| Second Address | Kansas City, MO 64111 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/07/2006 |
| Last Update Date | 03/03/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 37548019 | BCBS (01) | |
| I66601 | (02) | |
| P00393448 | RAILROAD MEDICARE (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.