Larson, Jennifer

Larson, Jennifer is an individual health care provider with primary practice located at 1026 7Th St W , Saint Paul MN 55102-3828. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Larson, Jennifer can be contacted via phone (651) 241-1000.

Contact Information

Primary practice address
1026 7Th St W Saint Paul MN 55102-3828
Fax: (651) 241-1030
Website:

Profile Details

NPI number 1184809907
LBN Legal business name Larson, Jennifer
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2007
Last updated Mar 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184809907 NPPES
Texas Other 1184809907 BLUE CROSS BLUE SHIELD
Texas MEDICAID 206313302 BLUE CROSS BLUE SHIELD
Texas MEDICAID 206313301 BLUE CROSS BLUE SHIELD
Texas Other 8DC697 BLUE CROSS BLUE SHIELD
Texas Other 8Y5543 BLUE CROSS BLUE SHIELD

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