Larson, Gregory Raymond
Larson, Gregory Raymond is an individual health care provider with primary practice located at 4572 County Road 61 , Moose Lake MN 55767-9401. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Larson, Gregory Raymond can be contacted via phone (218) 785-2015.Contact Information
Primary practice address
4572 County Road 61
Moose Lake MN 55767-9401
Phone: (218) 785-2015
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 263976 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1279791 | Minnesota |
Profile Details
| NPI number | 1982465761 |
|---|---|
| LBN Legal business name | Larson, Gregory Raymond |
| Credentials | APRN, CNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2024 |
| Last updated | Apr 25th, 2024 - about 7 months 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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