Pearson, Larry Charles
Pearson, Larry Charles is an individual health care provider with primary practice located at 601 N Barker Rd 110, Brookfield WI 53045-5929. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Pearson, Larry Charles can be contacted via phone (262) 785-0777.Contact Information
Primary practice address
601 N Barker Rd 110
Brookfield WI 53045-5929
Phone: (262) 785-0777
Fax: (262) 785-0610
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 21803 | Wisconsin |
Profile Details
| NPI number | 1699776237 |
|---|---|
| LBN Legal business name | Pearson, Larry Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2005 |
| Last updated | Oct 31st, 2019 - about 7 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 | 1699776237 | NPPES |
| Wisconsin | MEDICAID | 30304600 | |
| Wisconsin | Other | 387464687004 | |
| Wisconsin | Other | 110094338 |
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