Larrison, Charles A

Larrison, Charles A is an individual health care provider with primary practice located at 1 Mercy Ln Suite 201, Hot Springs AR 71913-6442. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Larrison, Charles A can be contacted via phone (501) 609-2222.

Contact Information

Primary practice address
1 Mercy Ln Suite 201 Hot Springs AR 71913-6442
Phone: (501) 609-2222
Fax: (501) 321-9689
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X C-6436 Arkansas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C6436 Arkansas

Profile Details

NPI number 1407857998
LBN Legal business name Larrison, Charles A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Mar 20th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407857998 NPPES
Arkansas MEDICAID 113872001

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