Larson, Matthew Paul
Larson, Matthew Paul is an individual health care provider with primary practice located at 41W400 Silver Glen Rd , St Charles IL 60175-8453. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Larson, Matthew Paul can be contacted via phone (630) 940-1193.Contact Information
Primary practice address
41W400 Silver Glen Rd
St Charles IL 60175-8453
Phone: (630) 940-1193
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 37495 | Illinois |
Profile Details
| NPI number | 1437938537 |
|---|---|
| LBN Legal business name | Larson, Matthew Paul |
| Credentials | CADC, RYT200 |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2023 |
| Last updated | Sep 27th, 2023 - about 2 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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