Amundson, Darcey P
Amundson, Darcey P is an individual health care provider with primary practice located at 1821 S Stoughton Rd , Madison WI 53716-2257. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Amundson, Darcey P can be contacted via phone (608) 260-6000.Contact Information
Primary practice address
1821 S Stoughton Rd
Madison WI 53716-2257
Phone: (608) 260-6000
Fax: (608) 260-6161
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1062-23 | Wisconsin |
Profile Details
NPI number | 1588691398 |
---|---|
LBN Legal business name | Amundson, Darcey P |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 27th, 2006 |
Last updated | Jan 6th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1588691398 | NPPES |
Wisconsin | MEDICAID | 1588691398 | |
Wisconsin | Other | 970030030 | |
Wisconsin | MEDICAID | 42975700 |
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