MR. MATTHEW J LARSON


Address: 2112 Hoffman Rd, Mankato, MN 56001-5829
Phone: 5073519111

MR. MATTHEW J LARSON (NPI# 1417113648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417113648
Entity Type Individual
Full Name MR. MATTHEW J LARSON
Practice Address 2112 Hoffman Rd
Mankato
MN 56001-5829
Practice Telephone 5073519111
Mailing Telephone 5073519111
Enumeration Date 2008-08-07
Last Update Date 2008-08-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 172A00000X Driver MN Other Service Providers

Other Providers MATTHEW LARSON

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1316444615 Matthew Erick Larson Radiology 600 Highland Ave, Madison, WI 53792-0001 2018-04-12
1316352834 Matthew Larson Optometrist 3450 Lacey Rd, Downers Grove, IL 60515-5430 2014-06-23
1982941027 Matthew Larson Social Worker 16 12th Ave S, Suite 201, Nampa, ID 83651-3936 2013-01-09
1922353739 Matthew W Larson Pharmacist 23 Slayton Ave, Spencerport, NY 14559-1427 2012-07-17
1609134675 Matthew Thor Larson Pharmacist 20 W Main St, Crosby, MN 56441-1422 2012-04-27
1710243795 Matthew H Larson Counselor 390 East 100 South, Ephraim, UT 84627 2012-04-04

Office Location

Street Address 2112 HOFFMAN RD
City MANKATO
State MN
Zip Code 56001-5829

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154935435 Kelly Nicole Ricke Physical Medicine & Rehabilitation 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 2020-09-03
1649816786 Ashley Lynn Walters Technician, Other 501 Madison Ave., Mankato, MN 56001 2019-11-25
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1093377871 Lindsey Keithahn Counselor 2100 Bassett Drive, Mankato, MN 56001 2019-07-02
1255803813 Amy Marie Williams Acupuncturist 709 S. Front Street, Suite 5, Mankato, MN 56001 2018-12-20
1518437573 Ashley Blanchard Acupuncturist Vida Salon Suites 1351 Madison Avenue, Suite F/ Suite 206, Mankato, MN 56001 2018-12-03
1831687235 Christian Goetz Specialist/Technologist 401-477 South Rd, Mankato, MN 56001 2018-05-01
1366949141 Minnesota State College and Universities Specialist/Technologist 135 Myers Field House, Mankato, MN 56001 2018-04-09
1780191775 Kevin David Nelson Pharmacist 111 Redtail Ct Apt 308, Mankato, MN 56001 2017-12-29
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Taxonomy Information

Taxonomy Code 172A00000X
Grouping Other Service Providers
Classification Driver

Taxonomy Definition

A person employed to operate a motor vehicle as a carrier of persons or property.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093322273 Melissa Jo Dahlstrom Driver 185 Hidden Vly, Minnesota City, MN 55959-1231 2020-09-30
1346866100 Oral M Sledge Driver 4261 Penn Ave N, Minneapolis, MN 55412-1537 2020-06-17
1790318186 Grace Edith Line Driver 2934 168th Ln Nw, Andover, MN 55304-1928 2020-02-13
1548813447 Camille Krashawn Eubanks Driver 6444 84thcourt, Brooklyn Park, MN 55445 2019-07-19
1174180640 Kathryn L Pederson Driver 22329 141st St Ne, Hawick, MN 56273-7705 2019-05-21
1336606912 Oluseye Akeem Adenusi Driver 6609 Hillsboro Ave N, Brooklyn Park, MN 55428-1862 2019-03-01
1710444146 Abdi Fatah Driver 2509 Pillsbury Ave S Apt 208, Minneapolis, MN 55404-4206 2019-02-21
1932665403 Mark Shea Driver 17242 Horizon Trl Se, Prior Lake, MN 55372-3939 2019-02-20
1861975765 Kenyi Okucu Driver 1490 148th Ave Nw, Andover, MN 55304-3459 2018-09-07
1013498872 Nebiyu Jamal Fanta Driver 478 University Ave W, Saint Paul, MN 55103-1935 2018-08-28
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Competitor

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City MANKATO
Zip Code 56001

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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