Larson, Connor Alan

Larson, Connor Alan is an individual health care provider with primary practice located at 811 S 10Th St , Watertown WI 53094-4905. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Larson, Connor Alan can be contacted via phone (920) 428-5998.

Contact Information

Primary practice address
811 S 10Th St Watertown WI 53094-4905
Phone: (920) 428-5998
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1407411051
LBN Legal business name Larson, Connor Alan
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2019
Last updated Jul 22nd, 2021 - about 3 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.

Request for update

Popular Providers