Edward Hendrikson in Fort Lupton - Physician Assistant

Edward Hendrikson - NPI 1982680021

Edward Hendrikson is a Physician Assistant in Fort Lupton, Colorado. Edward Hendrikson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Edward Hendrikson is 1982680021. The last update date is 2013-11-08.

Edward Hendrikson's current location address is 1115 2nd St, Fort Lupton, Colorado. You can contact this provider via phone number 3038572771 and fax number 7203229434. The mailing address for Edward Hendrikson is 1115 2nd St, Fort Lupton, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Edward Hendrikson
Address 1115 2nd St, Fort Lupton, Colorado
Phone Number 3038572771
Fax Number 7203229434
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1982680021
Provider Enumeration Date 2005-12-20
Last Updated Date 2013-11-08

Provider Mailing Address Detail

Address 1115 2nd St
City Fort Lupton
State Colorado (CO)
Post Code 806211745
Phone Number 3038572771
Fax Number 7203229434

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA.0000431
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
52600025 CO --

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FAQs about Edward Hendrikson

What is the unique 10-digit identification code assigned to Edward Hendrikson by the Centers for Medicare & Medicaid Services?

The Edward Hendrikson has been issued the NPI (National Provider Identifier) 1982680021, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Edward Hendrikson located?

The Edward Hendrikson is located at 1115 2Nd St, Fort Lupton, CO 806211745.

What is Edward Hendrikson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Edward Hendrikson is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.

When was the Edward Hendrikson's 1982680021 issued?

The Edward Hendrikson's 1982680021 was issued on 2005-12-20.

When was the Edward Hendrikson's information last updated?

The Edward Hendrikson's information was last updated on 2013-11-08.

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