Larsen, Carrie E

Larsen, Carrie E is an sole proprietor health care provider with primary practice located at 4641 Roosevelt Blvd , Philadelphia PA 19124-2343. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Larsen, Carrie E can be contacted via phone (215) 742-7820.

Contact Information

Primary practice address
4641 Roosevelt Blvd Philadelphia PA 19124-2343
Phone: (215) 742-7820
Fax: (215) 742-7808
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PT017108 Pennsylvania

Profile Details

NPI number 1437222023
LBN Legal business name Larsen, Carrie E
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2006
Last updated Jul 9th, 2007 - about 18 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 1437222023 NPPES
Pennsylvania MEDICAID 1011083330001

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