Individual
NATHAN LARSON
Active
Individual
NATHAN LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, AT, ATC
Taxonomy
Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
2601000209
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2601000209
STATE LICENSURE
MI
Enumeration date
04/06/2018
Last updated
04/06/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up