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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 172A00000X | Driver | MN | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043534878 | Matthew Golden Larson | Chiropractor | 9316 Carnation Duvall Rd Ne, Carnation, WA 98014-6706 | 2010-03-23 |
1326002437 | Matthew G. Larson | Social Worker | 24 S 600 E, Ste. 6, Slc, UT 84102 | 2006-04-14 |
1346703634 | Matthew Daniel Larson | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2019-04-12 |
1205315108 | Matthew Larson | Physical Therapist | 433 Mendota Rd E, West St Paul, MN 55118-5104 | 2018-08-10 |
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 |
Street Address |
2112 HOFFMAN RD |
City | MANKATO |
State | MN |
Zip Code | 56001-5829 |
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 |
1720631716 | Dovetail Traslation LLC | Interpreter | 212 Dublin Ct, Same As Above, Mankato, MN 56001 | 2019-07-19 |
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 |
1972014231 | Rylee Wagner | Speech-Language Pathologist | Mankato Clinic Pediatric Therapy Services, 150 St. Andrews Court, Suite 310, Mankato, MN 56001 | 2017-10-13 |
Find all providers in zip 56001 |
Taxonomy Code | 172A00000X |
Grouping | Other Service Providers |
Classification | Driver |
A person employed to operate a motor vehicle as a carrier of persons or property. |
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 |
Find all providers with the same taxonomy |
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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.