Larsen, Charles Steven
Larsen, Charles Steven is an individual health care provider with primary practice located at 3501 N Scottsdale Rd Ste 130 , Scottsdale AZ 85251-5649. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Larsen, Charles Steven can be contacted via phone (480) 425-5000.Contact Information
Primary practice address
3501 N Scottsdale Rd Ste 130
Scottsdale AZ 85251-5649
Phone: (480) 425-5000
Fax: (480) 425-5033
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 3179 | Arizona |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 3179 | Arizona |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 3179 | Arizona |
Profile Details
NPI number | 1164496030 |
---|---|
LBN Legal business name | Larsen, Charles Steven |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 15th, 2006 |
Last updated | Jan 22nd, 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 | 1164496030 | NPPES |
Arizona | MEDICAID | 636186 |
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