Larson, Jonathan
Larson, Jonathan is an individual health care provider with primary practice located at 1605 1St St S , Willmar MN 56201-4234. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Larson, Jonathan can be contacted via phone (320) 235-9060.Contact Information
Primary practice address
1605 1St St S
Willmar MN 56201-4234
Phone: (320) 235-9060
Fax: (320) 235-9062
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2140 | Minnesota |
Profile Details
| NPI number | 1912061458 |
|---|---|
| LBN Legal business name | Larson, Jonathan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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.
Popular Providers
-
Mueller, Thomas C
101 Willmar Ave Sw , Willmar MN 56201 -
Keplinger, Brian Leigh
15 Grandview Dr Ste D, Frankfort KY 40601-3235 -
Fairbanks, Jared Jay
1605 1St St S , Willmar MN 56201-4234 -
Watland, Bruce E
101 Willmar Ave Sw , Willmar MN 56201 -
Skoviera, Sam William
1605 So 1St St Midwest Vision Center, Willmar MN 56201 -
Roth, Reed T
28370 Kensington Ln Suite A, Perrysburg OH 43551-4163 -
Backhaus, Bradley L
2404 1St St S Suite 1, Willmar MN 56201-6300 -
Sude, Jerome
3510 Manchester Rd , Coventry Township OH 44319-1415