Dr. Charles Allan Larsen
Podiatrist
200 James Pl Ste 405
Monroeville
, Pennsylvania 15146-3445
Dr. Charles Allan Larsen
Podiatrist
200 James Pl Ste 405
Monroeville
, Pennsylvania 15146-3445
(412) 372-7397
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Dr. Charles Allan Larsen
- 200 James Pl Ste 405
- Monroeville, PA
- Zip : 15146-3445
- Fax : (412) 372-7397
- Phone : (412) 372-7272
Second Address
- Dr. Charles Allan Larsen
- 200 James Pl Ste 405
- Monroeville, PA
- Zip : 15146-3445
- Fax : (412) 372-7397
- Phone : (412) 372-7272
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | SC001850L | PA |
| Y | 222Z00000X | Podiatrist | SC001850L | PA |
National Provider Identifier
| NPI | 1063419885 |
|---|---|
| Provider Name | Dr. Charles Allan Larsen |
| First Address | Monroeville, PA 15146-3445 |
| Second Address | Monroeville, PA 15146-3445 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/07/2005 |
| Last Update Date | 16/06/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| T 27593 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.