Larson, Nathan

Larson, Nathan is an sole proprietor health care provider with primary practice located at 601 Quincy St. Athletics / Paavo Nurmi Gym, Hancock MI 49930-4993. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Larson, Nathan can be contacted via phone (906) 487-7532.

Contact Information

Primary practice address
601 Quincy St. Athletics / Paavo Nurmi Gym Hancock MI 49930-4993
Phone: (906) 487-7532
Fax: (906) 487-7527
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2083S0010X 2601000209 Michigan

Profile Details

NPI number 1366949455
LBN Legal business name Larson, Nathan
Credentials MS, AT, ATC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2018
Last updated Apr 6th, 2018 - about 7 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 1366949455 NPPES
Michigan Other 2601000209 STATE LICENSURE

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