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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

NICOLE M LARSEN, L.AC, M.OM
200 W 96TH ST APT 2B
BLOOMINGTON, MN55420-4328
 Phone: 651-214-1428
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for NICOLE M LARSEN · (Female)

NPI # 1003022179
Status Active
Credentials L.AC, M.OM
Entity Individual
Enumeration date 05/15/2007
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 1378
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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