Knuteson, Laureen S

Knuteson, Laureen S is an individual health care provider with primary practice located at 707 W 2Nd St , Bloomington IN 47403-2209. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Knuteson, Laureen S can be contacted via phone (812) 334-5081.

Contact Information

Primary practice address
707 W 2Nd St Bloomington IN 47403-2209
Phone: (812) 334-5081
Fax: (812) 334-5091
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1105-023 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1105-023 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1105-023 Wisconsin

Profile Details

NPI number 1326096124
LBN Legal business name Knuteson, Laureen S
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jul 30th, 2019 - about 5 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 1326096124 NPPES
Wisconsin MEDICAID 42980300

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