Larsen, Michael Thorpe
Larsen, Michael Thorpe is an sole proprietor health care provider with primary practice located at 370 E Virginia Ave Ste 100 , Phoenix AZ 85004-1254. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Surgery of the Hand is his primary health care specialty. Larsen, Michael Thorpe can be contacted via phone (614) 293-8652.Contact Information
Primary practice address
370 E Virginia Ave Ste 100
Phoenix AZ 85004-1254
Phone: (614) 293-8652
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | AO5603724206896 | Ohio |
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | 58871 | Arizona |
Profile Details
| NPI number | 1891040440 |
|---|---|
| LBN Legal business name | Larsen, Michael Thorpe |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2012 |
| Last updated | Oct 18th, 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 | 1891040440 | NPPES |
| Arizona | MEDICAID | 553192 |
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