Organization
HEALING CHOICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WILLIAM LARSON DC (OWNER)
(763) 241-5436
Entity
Organization
Contact information
Practice address
200 5TH ST NW, ELK RIVER, MN 55330-1917
(763) 241-5436
Mailing address
18140 ZANE ST NW # 303, ELK RIVER, MN 55330-4505
(763) 241-5436
(763) 241-5466
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
3500
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132M0HE
BCBS
MN
05
—
407660000
—
MN
01
—
C03743
MEDICARE LEGACY
MN
01
—
DG5136
RAILROAD MEDICARE
GA
Enumeration date
03/25/2008
Last updated
04/13/2018
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