Horton, Carissa A

Horton, Carissa A is an individual health care provider with primary practice located at 4201 Anderson Ave Ste C , Manhattan KS 66503-7603. 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. Horton, Carissa A can be contacted via phone (785) 539-3504.

Contact Information

Primary practice address
4201 Anderson Ave Ste C Manhattan KS 66503-7603
Phone: (785) 539-3504
Fax: (785) 539-8597
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 12-01033 Kansas

Profile Details

NPI number 1861489007
LBN Legal business name Horton, Carissa A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Apr 4th, 2022 - about 2 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 1861489007 NPPES
Kansas MEDICAID 200300400A
Kansas Other 426807

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