Enerson, Kara J.
Enerson, Kara J. is an individual health care provider with primary practice located at 710 Riverside Dr , Waupaca WI 54981-1941. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Enerson, Kara J. can be contacted via phone (715) 256-3000.Contact Information
Primary practice address
710 Riverside Dr
Waupaca WI 54981-1941
Phone: (715) 256-3000
Fax: (715) 256-3079
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1370 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 1370 | Wisconsin |
Profile Details
| NPI number | 1275655797 |
|---|---|
| LBN Legal business name | Enerson, Kara J. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2007 |
| Last updated | Aug 9th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275655797 | NPPES |
| Wisconsin | MEDICAID | 34412200 |
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