Homan, Craig A

Homan, Craig A is an individual health care provider with primary practice located at 1450 Eastside Rd Ste 110, Platteville WI 53818-9800. 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. Homan, Craig A can be contacted via phone (608) 348-4330.

Contact Information

Primary practice address
1450 Eastside Rd Ste 110 Platteville WI 53818-9800
Phone: (608) 348-4330
Fax: (608) 342-4801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 281-023 Wisconsin

Profile Details

NPI number 1427012285
LBN Legal business name Homan, Craig A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Nov 13th, 2014 - about 11 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 1427012285 NPPES
Wisconsin Other 1705 DEAN HEALTH INSURANCE
Wisconsin MEDICAID 42904500 DEAN HEALTH INSURANCE
Wisconsin Other 1020737 DEAN HEALTH INSURANCE

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