Larson, Timothy George
Larson, Timothy George is an individual health care provider with primary practice located at 910 E 26Th St Suite 200, Minneapolis MN 55404-4526. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Larson, Timothy George can be contacted via phone (612) 884-6300.Contact Information
Primary practice address
910 E 26Th St Suite 200
Minneapolis MN 55404-4526
Phone: (612) 884-6300
Fax: (612) 884-6363
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 38013 | Minnesota |
Profile Details
| NPI number | 1326130204 |
|---|---|
| LBN Legal business name | Larson, Timothy George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Oct 27th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326130204 | NPPES |
| Minnesota | Other | 3601103 | MEDICA |
| Minnesota | Other | 3601103 | MEDICA |
| Minnesota | Other | 1009049 | MEDICA |
| Minnesota | Other | 7K142LA | MEDICA |
| Minnesota | MEDICAID | 892718900 | MEDICA |
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