Larsen, Lars C

Larsen, Lars C is an individual health care provider with primary practice located at 101 Heart Drive Ecu Physicians Family Medicine, Greenville NC 27834-8944. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Larsen, Lars C can be contacted via phone (252) 744-4611.

Contact Information

Primary practice address
101 Heart Drive Ecu Physicians Family Medicine Greenville NC 27834-8944
Phone: (252) 744-4611
Fax: (252) 744-2056
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 27479 North Carolina

Profile Details

NPI number 1710979026
LBN Legal business name Larsen, Lars C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Oct 26th, 2011 - about 13 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 1710979026 NPPES
North Carolina Other 80106314 RAILROAD MEDICARE
North Carolina Other 51050 RAILROAD MEDICARE
North Carolina MEDICAID 7951050 RAILROAD MEDICARE

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