Hanington Erickson, Kristin Elizabeth

Hanington Erickson, Kristin Elizabeth is an individual health care provider with primary practice located at 132 Hospital Dr , Watertown WI 53098. 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. Hanington Erickson, Kristin Elizabeth can be contacted via phone (920) 261-2020.

Contact Information

Primary practice address
132 Hospital Dr Watertown WI 53098
Fax: (920) 261-0457
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3212-23 Wisconsin

Profile Details

NPI number 1093997355
LBN Legal business name Hanington Erickson, Kristin Elizabeth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2007
Last updated Nov 15th, 2018 - about 6 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 1093997355 NPPES
Wisconsin Other 3212-23 LICENSE NUMBER

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