Larsen, Brad Rodney
Larsen, Brad Rodney is an individual health care provider with primary practice located at 2950 N Church St Ste 200, Layton UT 84040-6504. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Larsen, Brad Rodney can be contacted via phone (801) 771-7700.Contact Information
Primary practice address
2950 N Church St Ste 200
Layton UT 84040-6504
Phone: (801) 771-7700
Fax: (801) 546-2422
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA0272 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 5166627-1206 | Utah |
Profile Details
NPI number | 1063430890 |
---|---|
LBN Legal business name | Larsen, Brad Rodney |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 18th, 2006 |
Last updated | Dec 11th, 2022 - about 2 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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