Van Roo, Laura P

Van Roo, Laura P is an individual health care provider with primary practice located at 2817 New Pinery Rd , Portage WI 53901-9240. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Van Roo, Laura P can be contacted via phone (608) 742-4131.

Contact Information

Primary practice address
2817 New Pinery Rd Portage WI 53901-9240
Phone: (608) 742-4131
Fax: (608) 745-5098
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1355-023 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1355-023 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1355-023 Wisconsin

Profile Details

NPI number 1316996622
LBN Legal business name Van Roo, Laura P
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2006
Last updated Jan 20th, 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 1316996622 NPPES
Wisconsin Other 60073 DEAN HEALTH INSURANCE
Wisconsin MEDICAID 41961500 DEAN HEALTH INSURANCE

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