Larson, Krista M
Larson, Krista M is an sole proprietor health care provider with primary practice located at 402 Washington St , Northfield MN 55057-5190. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Larson, Krista M can be contacted via phone (507) 301-1982.Contact Information
Primary practice address
402 Washington St
Northfield MN 55057-5190
Phone: (507) 301-1982
Fax: (507) 786-3786
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 14348 | Minnesota |
Profile Details
| NPI number | 1134250590 |
|---|---|
| LBN Legal business name | Larson, Krista M |
| Credentials | MSW, LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Aug 23rd, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134250590 | NPPES |
| Minnesota | MEDICAID | 787623800 |
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