Larsen, Cody Braxton

Larsen, Cody Braxton is an individual health care provider with primary practice located at 800 Wheeling Ave , Glen Dale WV 26038-1660. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Larsen, Cody Braxton can be contacted via phone (304) 845-3211.

Contact Information

Primary practice address
800 Wheeling Ave Glen Dale WV 26038-1660
Phone: (304) 845-3211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25MA10897300 New Jersey
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 29862 West Virginia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 304201 New York

Profile Details

NPI number 1003279456
LBN Legal business name Larsen, Cody Braxton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2016
Last updated Apr 20th, 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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