Mark Douglas Larson in Charlotte - Professional
Mark Douglas Larson - NPI 1376553503
Mark Douglas Larson is a Professional in Charlotte, North Carolina. Mark Douglas Larson practices all healthcare services and medical treatments related to Professional. The NPI Number for Mark Douglas Larson is 1376553503. The last update date is 2007-07-08.
Mark Douglas Larson's current location address is 605 East Boulevard, Charlotte, North Carolina. You can contact this provider via phone number 7043755354. The mailing address for Mark Douglas Larson is 605 East Boulevard, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Douglas Larson |
|---|---|
| Address | 605 East Boulevard, Charlotte, North Carolina |
| Phone Number | 7043755354 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.MIN., L. |
NPI Number Detail
| NPI Number | 1376553503 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 605 East Boulevard |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282035111 |
| Phone Number | 7043755354 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 2189 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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What is the unique 10-digit identifier code assigned to Mark Douglas Larson by the Centers for Medicare & Medicaid Services?
The Mark Douglas Larson has been issued the NPI (National Provider Identifier) 1376553503 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Mark Douglas Larson's facilities are situated?
The facilities of Mark Douglas Larson are physically located at the following address: 605 East Boulevard, Charlotte, NC, 282035111.
What is Mark Douglas Larson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark Douglas Larson is Professional, and the taxonomy classification code that categorizes this area of expertise is 101Yp2500X.
On what date did the Mark Douglas Larson receive the assignment of its 1376553503 from the Centers for Medicare & Medicaid Services?
The Mark Douglas Larson was issued its 1376553503 by the Centers for Medicare & Medicaid Services on 2006-08-09.
When was the information regarding Mark Douglas Larson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mark Douglas Larson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY