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Contact Information

KARA J ENERSON, PA-C
710 RIVERSIDE DR
WAUPACA, WI54981-1941
 Phone: 715-256-3000
 Fax: 715-256-3079
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KARA J ENERSON · (Female)

NPI # 1275655797
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 04/04/2007
Last updated 08/09/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 1370
  • WI Medicaid 34412200
Hospital affiliation(s)
  • RIVERSIDE MEDICAL CENTER - (Critical Access)
    800 RIVERSIDE DRIVE
    WAUPACA, WI 54981
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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