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Contact Information

JARED M LARSEN, D.C.
1700 HIGHWAY 36 W
400
ROSEVILLE, MN55113-4034
 Phone: 651-636-0055
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutritionist

133N00000X
 

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for JARED M LARSEN · (Male)

NPI Number 1487860912
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 05/14/2007
Last updated 01/30/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MN License # 4893
  • MN License # N204
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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