Larsson, Eric

Larsson, Eric is an individual health care provider with primary practice located at 2925 Dean Pkwy Suite 300, Minneapolis MN 55416-4470. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Cognitive & Behavioral is his primary health care specialty. Larsson, Eric can be contacted via phone (612) 925-8365.

Contact Information

Primary practice address
2925 Dean Pkwy Suite 300 Minneapolis MN 55416-4470
Phone: (612) 925-8365
Fax: (612) 925-8366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X LP1531 Minnesota
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP1531 Minnesota

Profile Details

NPI number 1447338702
LBN Legal business name Larsson, Eric
Credentials P.H.D, L.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Apr 12th, 2016 - 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 1447338702 NPPES
Minnesota Other 0638K3LA BCBS OF MN
Minnesota MEDICAID 688548900 BCBS OF MN

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