Rosebraugh, Larry K.

Rosebraugh, Larry K. is an individual health care provider with primary practice located at 501 S Buena Vista St , Burbank CA 91505-4809. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Rosebraugh, Larry K. can be contacted via phone (818) 843-5111.

Contact Information

Primary practice address
501 S Buena Vista St Burbank CA 91505-4809
Phone: (818) 843-5111
Fax: (405) 749-4561
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10166 California

Profile Details

NPI number 1811937105
LBN Legal business name Rosebraugh, Larry K.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Mar 25th, 2008 - about 16 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 1811937105 NPPES
California MEDICAID PA10166 APPROVED

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