Starke, Lawrence Carlton
Starke, Lawrence Carlton is an sole proprietor health care provider with primary practice located at 1742 Berkeley Ave , Petersburg VA 23805-2806. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Starke, Lawrence Carlton can be contacted via phone (804) 733-4494.Contact Information
Primary practice address
1742 Berkeley Ave
Petersburg VA 23805-2806
Phone: (804) 733-4494
Fax: (804) 733-9066
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701003843 | Virginia |
Profile Details
| NPI number | 1609832070 |
|---|---|
| LBN Legal business name | Starke, Lawrence Carlton |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Apr 10th, 2013 - about 11 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 | 1609832070 | NPPES |
| Virginia | Other | 188470 | ANTHEM |
| Virginia | Other | 087775M | ANTHEM |
| Virginia | MEDICAID | 010243696 | ANTHEM |
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