Larson, John W

Larson, John W is an individual health care provider with primary practice located at 1740 Weir Dr Suite 24, Woodbury MN 55125-2282. He recently has only one registered license in Chiropractic Providers / Nutrition, which is considered as his primary health care specialty. Larson, John W can be contacted via phone (651) 232-6830.

Contact Information

Primary practice address
1740 Weir Dr Suite 24 Woodbury MN 55125-2282
Phone: (651) 232-6830
Fax: (651) 702-2636
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Nutrition 111NN1001X 3500 Minnesota

Profile Details

NPI number 1285642975
LBN Legal business name Larson, John W
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Apr 13th, 2017 - about 8 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 1285642975 NPPES
Minnesota Other 132MOHE BLUE CROSS BLUE SHIELD

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