Larsen, Sangeetha

Larsen, Sangeetha is an individual health care provider with primary practice located at 1000 Nicollet Mall # 17-642 , Minneapolis MN 55403-2542. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Larsen, Sangeetha can be contacted via phone (612) 696-1871.

Contact Information

Primary practice address
1000 Nicollet Mall # 17-642 Minneapolis MN 55403-2542
Phone: (612) 696-1871
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 9858 Minnesota

Profile Details

NPI number 1114990272
LBN Legal business name Larsen, Sangeetha
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Sep 15th, 2009 - about 17 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 1114990272 NPPES
Minnesota MEDICAID 442970200

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