Hanington Erickson, Andrew Craig

Hanington Erickson, Andrew Craig is an individual health care provider with primary practice located at 1020 35Th St , Kenosha WI 53140. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Hanington Erickson, Andrew Craig can be contacted via phone (262) 652-3500.

Contact Information

Primary practice address
1020 35Th St Kenosha WI 53140
Phone: (262) 652-3500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3192 Wisconsin

Profile Details

NPI number 1770766511
LBN Legal business name Hanington Erickson, Andrew Craig
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2007
Last updated Dec 1st, 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 1770766511 NPPES
Wisconsin MEDICAID 1770766511

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