Douglas C Larsen in Omaha - Physician Assistant
Douglas C Larsen - NPI 1053386631
Douglas C Larsen is a Physician Assistant in Omaha, Nebraska. Douglas C Larsen practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Douglas C Larsen is 1053386631. The last update date is 2016-06-15.
Douglas C Larsen's current location address is 11704 W Center Rd, Omaha, Nebraska. You can contact this provider via phone number 4023937050 and fax number 4023932814. The mailing address for Douglas C Larsen is 11704 W Center Rd, Omaha, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas C Larsen |
|---|---|
| Address | 11704 W Center Rd, Omaha, Nebraska |
| Phone Number | 4023937050 |
| Fax Number | 4023932814 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1053386631 |
|---|---|
| Provider Enumeration Date | 2006-02-17 |
| Last Updated Date | 2016-06-15 |
Provider Mailing Address Detail
| Address | 11704 W Center Rd |
|---|---|
| City | Omaha |
| State | Nebraska (NE) |
| Post Code | 681444375 |
| Phone Number | 4023937050 |
| Fax Number | 4023932814 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 689 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 47077821700 | NE | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Douglas C Larsen by the Centers for Medicare & Medicaid Services?
The Douglas C Larsen has been issued the NPI (National Provider Identifier) 1053386631. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Douglas C Larsen is physically located?
The Douglas C Larsen is situated at the following address: 11704 W Center Rd, Omaha, NE 681444375.
What is Douglas C Larsen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Douglas C Larsen's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Douglas C Larsen receive its 1053386631 assignment from the Centers for Medicare & Medicaid Services?
The Douglas C Larsen was assigned its 1053386631 by the Centers for Medicare & Medicaid Services on 2006-02-17.
When was the information related to Douglas C Larsen most recently updated or refreshed?
The details pertaining to the Douglas C Larsen, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-06-15.
NPI Number: 1356344279
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