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
Fax: (608) 260-6161
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588691398 NPPES
Wisconsin MEDICAID 1588691398
Wisconsin Other 970030030
Wisconsin MEDICAID 42975700

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