NATHAN LARSON MS, AT, ATC – NPI #1366949455
Preventive Medicine

A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.

NATHAN LARSON is a physician located in HANCOCK, MI. NPPES has assigned the NPI number 1366949455 to NATHAN LARSON on April 06, 2018. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2083S0010X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Sports Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NATHAN LARSON below.

NPI Profile for
NATHAN LARSON

NPI Number
1366949455
Enumeration Date

(more than 8 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
NATHAN LARSON
Credentials
MS, AT, ATC
Primary location
601 QUINCY ST.
ATHLETICS / PAAVO NURMI GYM
HANCOCK, MI 49930-4993
Phone: (906) 487-7532 Fax: (906) 487-7527
Mailing address
600 MACINNES DR STE 201
HOUGHTON, MI 49931-1144
Phone: (906) 487-7532 Fax: (906) 487-7527
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for NATHAN LARSON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERSTATE LICENSUREMI2601000209
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2083S0010X
- Preventive Medicine / Sports Medicine (Primary)
MI 2601000209

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.