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
Fax: (757) 510-9041
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801865514 NPPES
Arizona Other 27215 STATE LICENSE
Arizona Other 200701520 STATE LICENSE

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