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Contact Information

LARRY V CARSON, MD
11104 PARKVIEW CIRCLE DR STE 110
FORT WAYNE, IN46845-1673
 Phone: 260-425-6780
 Fax: 260-425-6615
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for LARRY V CARSON · (Male)

NPI # 1588764385
Status Active
Credentials MD
Entity Individual
Enumeration date 09/22/2006
Last updated 12/09/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • GA License # 20197
  • IN License # 01082907A
  • NC License # 2008-02090
  • TN License # 25835
  • VA License # 0101039834
  • WV License # 14284
  • NC Medicaid 5911722
  • WV Medicaid 0089635000
Hospital affiliation(s)
  • PARKVIEW REGIONAL MEDICAL CENTER - (Acute Care)
    11109 PARKVIEW PLAZA DRIVE
    FORT WAYNE, IN 46845
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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