Henderson, Paul Lars

Henderson, Paul Lars is an individual health care provider with primary practice located at 1969 W Hart Rd , Beloit WI 53511-2298. 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. Henderson, Paul Lars can be contacted via phone (608) 364-5011.

Contact Information

Primary practice address
1969 W Hart Rd Beloit WI 53511-2298
Phone: (608) 364-5011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.008337 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5543-23 Wisconsin

Profile Details

NPI number 1043982341
LBN Legal business name Henderson, Paul Lars
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2021
Last updated Oct 4th, 2021 - about 4 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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