Larson, Peter Richard
Larson, Peter Richard is an individual health care provider with primary practice located at 5803 Neal Ave N , Oak Park Heights MN 55082-2177. He 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 his primary health care specialty. Larson, Peter Richard can be contacted via phone (651) 439-8807.Contact Information
Primary practice address
5803 Neal Ave N
Oak Park Heights MN 55082-2177
Phone: (651) 439-8807
Fax: (651) 439-0232
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1424-23 | Wisconsin |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 9658 | Minnesota |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 9658 | Minnesota |
Profile Details
NPI number | 1396706511 |
---|---|
LBN Legal business name | Larson, Peter Richard |
Credentials | PAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 29th, 2006 |
Last updated | Aug 26th, 2021 - about 4 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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