Spain, Carissa Michelle
Spain, Carissa Michelle is an individual health care provider with primary practice located at 200 Hawkins Dr , Iowa City IA 52242-1009. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Spain, Carissa Michelle can be contacted via phone (563) 344-2240.Contact Information
Primary practice address
200 Hawkins Dr
Iowa City IA 52242-1009
Phone: (563) 344-2240
Fax: (563) 344-2244
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 002348 | Iowa |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 002348 | Iowa |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 002348 | Iowa |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085.004555 | Illinois |
Profile Details
NPI number | 1053656116 |
---|---|
LBN Legal business name | Spain, Carissa Michelle |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 30th, 2012 |
Last updated | May 2nd, 2024 - about 6 months 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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