Larsen, Peter Jon

Larsen, Peter Jon is an individual health care provider with primary practice located at 1285 Nininger Rd , Hastings MN 55033-1086. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Larsen, Peter Jon can be contacted via phone (651) 480-4200.

Contact Information

Primary practice address
1285 Nininger Rd Hastings MN 55033-1086
Phone: (651) 480-4200
Fax: (651) 480-4434
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9355 Minnesota

Profile Details

NPI number 1538122817
LBN Legal business name Larsen, Peter Jon
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated Mar 23rd, 2021 - about 5 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 1538122817 NPPES
Minnesota MEDICAID 040965100
Minnesota Other 42990800
Minnesota Other 01-13610
Minnesota Other 970015689
Minnesota Other NA9141022759
Minnesota Other 127666
Minnesota Other 16F30LA
Minnesota Other HP30168
Minnesota Other 850267

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