Larsen, Ralph David
Larsen, Ralph David is an individual health care provider with primary practice located at 9053 S Pecos Rd Suite 2900, Henderson NV 89074-7177. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Larsen, Ralph David can be contacted via phone (702) 735-8000.Contact Information
Primary practice address
9053 S Pecos Rd Suite 2900
Henderson NV 89074-7177
Phone: (702) 735-8000
Fax: (702) 735-4795
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 1668241205 | Utah |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 6317 | Nevada |
Profile Details
| NPI number | 1306824149 |
|---|---|
| LBN Legal business name | Larsen, Ralph David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2006 |
| Last updated | Dec 29th, 2021 - about 4 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 | 1306824149 | NPPES |
| Nevada | MEDICAID | 002019159 | |
| Nevada | Other | V33978 |
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