Kachowski, Larisa
Kachowski, Larisa is an sole proprietor health care provider with primary practice located at 1726 W42D Ave , Pine Bluff AR 71603. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kachowski, Larisa can be contacted via phone (870) 619-4516.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E6102 | Arkansas |
Profile Details
| NPI number | 1023214574 |
|---|---|
| LBN Legal business name | Kachowski, Larisa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2007 |
| Last updated | Apr 13th, 2019 - about 5 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 | 1023214574 | NPPES |
| Arkansas | MEDICAID | 136556001 |
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