Krouson, Ian Paul

Krouson, Ian Paul is an individual health care provider with primary practice located at 1195 N Main St , Providence RI 02904-1824. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Krouson, Ian Paul can be contacted via phone (401) 861-3782.

Contact Information

Primary practice address
1195 N Main St Providence RI 02904-1824
Phone: (401) 861-3782
Fax: (401) 383-5846
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 00398 Rhode Island

Profile Details

NPI number 1790744381
LBN Legal business name Krouson, Ian Paul
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Sep 16th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790744381 NPPES
Rhode Island Other PA00398 RI LICENSE PA#

Popular Providers