Larsen, Jamie P
Larsen, Jamie P is an individual health care provider with primary practice located at 2530 E Southern Ave , Mesa AZ 85204-5411. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Larsen, Jamie P can be contacted via phone (480) 834-4188.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 57597411206 | Utah |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 57597411206 | Utah |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 5177 | Arizona |
Profile Details
NPI number | 1659410983 |
---|---|
LBN Legal business name | Larsen, Jamie P |
Credentials | PAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 5th, 2007 |
Last updated | May 20th, 2024 - about last year |
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 | 1659410983 | NPPES |
Utah | MEDICAID | 553068427005 | |
Utah | MEDICAID | 005752 |
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