Charleston, Larry

Charleston, Larry is an individual health care provider with primary practice located at 804 Service Rd Ste A217 , East Lansing MI 48824-7015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Charleston, Larry can be contacted via phone (517) 353-8122.

Contact Information

Primary practice address
804 Service Rd Ste A217 East Lansing MI 48824-7015
Phone: (517) 353-8122
Fax: (517) 432-3713
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 4301086055 Michigan

Profile Details

NPI number 1730314782
LBN Legal business name Charleston, Larry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2009
Last updated Jun 28th, 2023 - about last year

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 1730314782 NPPES
Michigan MEDICAID 1730314782

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