Jill Katherine Larsen in Crosby - Medical

Jill Katherine Larsen - NPI 1316991086

Jill Katherine Larsen is a Medical in Crosby, Minnesota. Jill Katherine Larsen practices all healthcare services and medical treatments related to Medical. The NPI Number for Jill Katherine Larsen is 1316991086. The last update date is 2020-11-19.

Jill Katherine Larsen's current location address is 320 E Main St, Crosby, Minnesota. You can contact this provider via phone number 2185467000 and fax number 2185464400. The mailing address for Jill Katherine Larsen is 320 E Main St, Crosby, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Jill Katherine Larsen
Address 320 E Main St, Crosby, Minnesota
Phone Number 2185467000
Fax Number 2185464400
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1316991086
Provider Enumeration Date 2006-05-19
Last Updated Date 2020-11-19

Provider Mailing Address Detail

Address 320 E Main St
City Crosby
State Minnesota (MN)
Post Code 564411645
Phone Number 2185467000
Fax Number 2185464400

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 9975
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
01-20460 MN MEDICA HILLMAN CLINIC
132635 MN UCARE
NA9091043681 MN PREFERRED ONE
430L3LA MN BLUE CROSS CLINICS
01-20461 MN MEDICA ISLE CLINIC
01-20459 MN MEDICA ONAMIA CLINIC
HP50104 MN HEALTH PARTNERS
911435100 MN --

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FAQs about Jill Katherine Larsen

What is the unique 10-digit identification code issued to Jill Katherine Larsen by the Centers for Medicare & Medicaid Services?

The Jill Katherine Larsen has been assigned the NPI (National Provider Identifier) 1316991086 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Jill Katherine Larsen is physically located?

The Jill Katherine Larsen is situated at the following address: 320 E Main St, Crosby, MN 564411645.

What is Jill Katherine Larsen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jill Katherine Larsen is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.

When did Jill Katherine Larsen receive its 1316991086 assignment?

The Jill Katherine Larsen was assigned its 1316991086 on 2006-05-19, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Jill Katherine Larsen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jill Katherine Larsen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-11-19.

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