Larson, Evan Carl Swaggert

Larson, Evan Carl Swaggert is an sole proprietor health care provider with primary practice located at 1720 Bassett Dr , Mankato MN 56001-6569. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Larson, Evan Carl Swaggert can be contacted via phone (507) 682-7100.

Contact Information

Primary practice address
1720 Bassett Dr Mankato MN 56001-6569
Phone: (507) 682-7100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1356065304
LBN Legal business name Larson, Evan Carl Swaggert
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2022
Last updated Oct 3rd, 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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