Larsen, Brant Adam
Larsen, Brant Adam is an individual health care provider with primary practice located at 25 Lake St N Suite 217, Forest Lake MN 55025-2535. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Larsen, Brant Adam can be contacted via phone (651) 982-1804.Contact Information
Primary practice address
25 Lake St N Suite 217
Forest Lake MN 55025-2535
Phone: (651) 982-1804
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4631 | Minnesota |
Profile Details
| NPI number | 1922213941 |
|---|---|
| LBN Legal business name | Larsen, Brant Adam |
| Credentials | BRANT LARSEN D.C. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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