Larsen, Erik A

Larsen, Erik A is an individual health care provider with primary practice located at 1850 Town Center Parkway Suite 400, Reston VA 20190. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Larsen, Erik A can be contacted via phone (703) 810-5202.

Contact Information

Primary practice address
1850 Town Center Parkway Suite 400 Reston VA 20190
Phone: (703) 810-5202
Fax: (703) 787-9664
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110001633 Virginia

Profile Details

NPI number 1053332890
LBN Legal business name Larsen, Erik A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Apr 27th, 2009 - about 16 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 1053332890 NPPES
Other P00071404 MEDICARE RAILROAD

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