Hendrikson, Edward
Hendrikson, Edward is an individual health care provider with primary practice located at 1115 2Nd St , Fort Lupton CO 80621-1745. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Hendrikson, Edward can be contacted via phone (303) 857-2771.Contact Information
Primary practice address
1115 2Nd St
Fort Lupton CO 80621-1745
Phone: (303) 857-2771
Fax: (720) 322-9434
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA.0000431 | Colorado |
Profile Details
| NPI number | 1982680021 |
|---|---|
| LBN Legal business name | Hendrikson, Edward |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2005 |
| Last updated | Nov 8th, 2013 - about 13 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 | 1982680021 | NPPES |
| Colorado | MEDICAID | 52600025 |
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