Larson, Jeanette Pueschel
Larson, Jeanette Pueschel is an individual health care provider with primary practice located at 301 Riverview Ave Ste 202 , Norfolk VA 23510-1065. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Larson, Jeanette Pueschel can be contacted via phone (757) 252-9015.Contact Information
Primary practice address
301 Riverview Ave Ste 202
Norfolk VA 23510-1065
Phone: (757) 252-9015
Fax: (757) 510-9041
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 0101270991 | Virginia |
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 27215 | Arizona |
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 200701520 | North Carolina |
Profile Details
NPI number | 1801865514 |
---|---|
LBN Legal business name | Larson, Jeanette Pueschel |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 15th, 2006 |
Last updated | Mar 13th, 2023 - 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 | 1801865514 | NPPES |
Arizona | Other | 27215 | STATE LICENSE |
Arizona | Other | 200701520 | STATE LICENSE |
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