Larsen, Ashley J

Larsen, Ashley J is an individual health care provider with primary practice located at 2A Doctors Dr , Ocean Springs MS 39564-5721. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Larsen, Ashley J can be contacted via phone (228) 872-1951.

Contact Information

Primary practice address
2A Doctors Dr Ocean Springs MS 39564-5721
Phone: (228) 872-1951
Fax: (228) 875-9998
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA-519 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 200067 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA00156 Mississippi

Profile Details

NPI number 1144301458
LBN Legal business name Larsen, Ashley J
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated May 9th, 2018 - about 8 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 1144301458 NPPES
Mississippi MEDICAID 06105593
Mississippi MEDICAID 1371866
Mississippi Other 302I970729

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