Larsen, Renee L.

Larsen, Renee L. is an individual health care provider with primary practice located at 1962 Charlie Hall Blvd. , Charleston SC 29414. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Larsen, Renee L. can be contacted via phone (843) 722-8000.

Contact Information

Primary practice address
1962 Charlie Hall Blvd. Charleston SC 29414
Phone: (843) 722-8000
Fax: (843) 723-7850
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X A817 South Carolina

Profile Details

NPI number 1740289511
LBN Legal business name Larsen, Renee L.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Aug 5th, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740289511 NPPES
South Carolina MEDICAID 0092PA

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