Charles G Larsen in Champion - Nurse Anesthetist, Certified Registered
Charles G Larsen - NPI 1740262906
Charles G Larsen is a Nurse Anesthetist, Certified Registered in Champion, Michigan. Charles G Larsen practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Charles G Larsen is 1740262906. The last update date is 2007-07-09.
Charles G Larsen's current location address is 610 Holli Blue Rd, Champion, Michigan. You can contact this provider via phone number 9063394141. The mailing address for Charles G Larsen is 610 Holli Blue Rd, Champion, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles G Larsen |
|---|---|
| Address | 610 Holli Blue Rd, Champion, Michigan |
| Phone Number | 9063394141 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1740262906 |
|---|---|
| Provider Enumeration Date | 2005-11-15 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 610 Holli Blue Rd |
|---|---|
| City | Champion |
| State | Michigan (MI) |
| Post Code | 498149769 |
| Phone Number | 9063394141 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 4704147538 |
|
Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CL147538 | MI | BLUESHIELD PIN | |
| 43400600 | WI | WISC MEDICAID PIN |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Charles G Larsen by the Centers for Medicare & Medicaid Services?
The Charles G Larsen has been issued the NPI (National Provider Identifier) 1740262906, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Charles G Larsen is physically located?
The Charles G Larsen is physically situated at the following address: 610 Holli Blue Rd, Champion, MI, 498149769.
What is Charles G Larsen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Charles G Larsen's specialized field of practice is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code that categorizes this area of specialization is 367500000X.
When did the Charles G Larsen receive its 1740262906?
The Charles G Larsen was issued its 1740262906 on 2005-11-15, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Charles G Larsen most recently updated or revised?
The information pertaining to Charles G Larsen, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.
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