1770654279 NPI number — DR. KAREN BENEDICTE LARSEN MD

Table of content: DR. KAREN BENEDICTE LARSEN MD (NPI 1770654279)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770654279 NPI number — DR. KAREN BENEDICTE LARSEN MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LARSEN
Provider First Name:
KAREN
Provider Middle Name:
BENEDICTE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1770654279
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/05/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
402 COUNTY ROAD D W
Provider Second Line Business Mailing Address:
MEDTOX LABORATORIES, INC.
Provider Business Mailing Address City Name:
SAINT PAUL
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55112-3522
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
651-628-6115
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
402 COUNTY ROAD D W
Provider Second Line Business Practice Location Address:
MEDTOX LABORATORIES, INC.
Provider Business Practice Location Address City Name:
SAINT PAUL
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55112-3522
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
651-628-6115
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207ZP0105X , with the licence number:  46238 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 10387 , issued by the state of ( ND ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7777470 , issued by the state of ( SD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0571638 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1040004 . This is a "PREFERREDONE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 11-00014 . This is a "MEDICA - PRIMARY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2032911 . This is a "ARAZ" identifier . This identifiers is of the category "OTHER".
  • Identifier: HP40145 . This is a "HEALTHPARTNERS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 11-00380 . This is a "MEDICA - CHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 131144 . This is a "UCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 34454100 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 610942000 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".




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