Larson, Nathan Michael

Larson, Nathan Michael is an individual health care provider with primary practice located at 1255 Appleton Rd , Menasha WI 54952-1501. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Larson, Nathan Michael can be contacted via phone (920) 722-6872.

Contact Information

Primary practice address
1255 Appleton Rd Menasha WI 54952-1501
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3916-35 Wisconsin

Profile Details

NPI number 1073207445
LBN Legal business name Larson, Nathan Michael
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2023
Last updated Jun 8th, 2023 - about last year

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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