Matthew J Larson is a Driver in Mankato, Minnesota. Matthew J Larson practices all healthcare services and medical treatments related to Driver. The NPI Number for Matthew J Larson is 1417113648. The last update date is 2008-08-07.
Matthew J Larson's current location address is 2112 Hoffman Rd, Mankato, Minnesota. You can contact this provider via phone number 5073519111. The mailing address for Matthew J Larson is 2112 Hoffman Rd, Mankato, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew J Larson |
|---|---|
| Address | 2112 Hoffman Rd, Mankato, Minnesota |
| Phone Number | 5073519111 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1417113648 |
|---|---|
| Provider Enumeration Date | 2008-08-07 |
| Last Updated Date | 2008-08-07 |
Provider Mailing Address Detail
| Address | 2112 Hoffman Rd |
|---|---|
| City | Mankato |
| State | Minnesota (MN) |
| Post Code | 560015829 |
| Phone Number | 5073519111 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Driver |
|---|---|
| Taxonomy | 172A00000X |
|
Definition: A person employed to operate a motor vehicle as a carrier of persons or property. |
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Post Comment/ Review Below
What is the Matthew J Larson's 1417113648?
The Matthew J Larson's NPI (National Provider Identifier) Number is 1417113648. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Matthew J Larson?
The Matthew J Larson is physically situated at 2112 Hoffman Rd, in the city of Mankato, state of MN, with the postal code 560015829.
What is the Matthew J Larson's specialty and taxonomy code?
The Matthew J Larson's specialty is Driver, and the corresponding taxonomy code is 172A00000X.
When did Matthew J Larson receive its 1417113648 assignment?
The Matthew J Larson was assigned its 1417113648 on 2008-08-07, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Matthew J Larson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Matthew J Larson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-08-07.
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