Neilsen, Laura

Neilsen, Laura is an sole proprietor health care provider with primary practice located at 1221 N Highland Ave , Aurora IL 60506-1404. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Neilsen, Laura can be contacted via phone (630) 859-8700.

Contact Information

Primary practice address
1221 N Highland Ave Aurora IL 60506-1404
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 085-003311 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085003311 Illinois

Profile Details

NPI number 1285886721
LBN Legal business name Neilsen, Laura
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 15th, 2008
Last updated Nov 18th, 2021 - about 3 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 1285886721 NPPES
Illinois Other 085003311 IL STATE LICENSE

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