Larsen, Nathanael M

Larsen, Nathanael M is an individual health care provider with primary practice located at 126 E Alcott Ave , Fergus Falls MN 56537-2903. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Larsen, Nathanael M can be contacted via phone (218) 736-6987.

Contact Information

Primary practice address
126 E Alcott Ave Fergus Falls MN 56537-2903
Phone: (218) 736-6987
Fax: (218) 736-6980
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP2878 Minnesota

Profile Details

NPI number 1912954728
LBN Legal business name Larsen, Nathanael M
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Jul 8th, 2007 - about 19 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 1912954728 NPPES
Minnesota Other HP23070 HEALTHPARTNER
Minnesota Other 1010714 HEALTHPARTNER
Minnesota Other 62-20513 HEALTHPARTNER
Minnesota Other 57399LA HEALTHPARTNER
Minnesota Other 116689 HEALTHPARTNER

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