Theisen, April A

Theisen, April A is an individual health care provider with primary practice located at 1325 Ne 7Th St , Grants Pass OR 97526-1358. 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. Theisen, April A can be contacted via phone (541) 460-5331.

Contact Information

Primary practice address
1325 Ne 7Th St Grants Pass OR 97526-1358
Phone: (541) 460-5331
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 51464 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10004813 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA198758 Oregon

Profile Details

NPI number 1366469074
LBN Legal business name Theisen, April A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated May 12th, 2021 - about 4 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 1366469074 NPPES
Washington Other 0195994 LABOR & INDUSTRY
Washington Other 1366469074 LABOR & INDUSTRY
Washington MEDICAID 8428922 LABOR & INDUSTRY

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