Carnes, Larry David
Carnes, Larry David is an individual health care provider with primary practice located at 1400 E. Kincaid Street , Mount Vernon WA 98274-4127. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Carnes, Larry David can be contacted via phone (360) 428-6434.Contact Information
Primary practice address
1400 E. Kincaid Street
Mount Vernon WA 98274-4127
Phone: (360) 428-6434
Fax: (360) 858-4233
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA60507481 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA60507481 | Washington |
Profile Details
| NPI number | 1649238205 |
|---|---|
| LBN Legal business name | Carnes, Larry David |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Feb 20th, 2015 - about 9 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 | 1649238205 | NPPES |
| Washington | MEDICAID | 1649238205 |
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