Larson, Nathan S

Larson, Nathan S is an individual health care provider with primary practice located at 100 Hospital Dr , Lebanon MO 65536-9210. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Larson, Nathan S can be contacted via phone (417) 533-6100.

Contact Information

Primary practice address
100 Hospital Dr Lebanon MO 65536-9210
Phone: (417) 533-6100
Fax: (417) 533-6021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2013002285 Missouri

Profile Details

NPI number 1255683777
LBN Legal business name Larson, Nathan S
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2012
Last updated Jul 16th, 2015 - about 9 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 1255683777 NPPES
Missouri MEDICAID 600420082
Missouri MEDICAID 1255683777

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