Larson, Alexander

Larson, Alexander is an individual health care provider with primary practice located at 451 Lexington Pkwy N , Saint Paul MN 55104-4636. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Larson, Alexander can be contacted via phone (651) 280-2310.

Contact Information

Primary practice address
451 Lexington Pkwy N Saint Paul MN 55104-4636
Phone: (651) 280-2310
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X CC02773 Minnesota
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 304937 Minnesota

Profile Details

NPI number 1376015719
LBN Legal business name Larson, Alexander
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2018
Last updated Jan 12th, 2022 - about 3 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 1376015719 NPPES
Minnesota Other 304937 LADC

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