IndividualActive
Brian Larson, CNIM
NPI 1083836639 · Electroneurodiagnostic Specialist/Technologist · Effingham, IL
Provider details
- NPI number
- 1083836639
- Entity type
- Individual
- Primary specialty
- Electroneurodiagnostic Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CNIM
- Sex
- Male
- Sole proprietor
- Yes
Mailing address
Po Box 1527
Effingham, IL 62401-1527
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.