Fine, Hayley Brooke
Fine, Hayley Brooke is an individual health care provider with primary practice located at 1105 North Church Street 103 , Elkhorn WI 53121. She recently has only one registered license in Nursing Service Providers / Critical Care Medicine, which is considered as her primary health care specialty. Fine, Hayley Brooke can be contacted via phone (262) 484-7026.Contact Information
Primary practice address
1105 North Church Street 103
Elkhorn WI 53121
Phone: (262) 484-7026
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Critical Care Medicine | 163WC0200X | 184043 | Wisconsin |
Profile Details
| NPI number | 1568053791 |
|---|---|
| LBN Legal business name | Fine, Hayley Brooke |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2021 |
| Last updated | Jan 31st, 2021 - about 3 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 | 1568053791 | NPPES |
| Wisconsin | MEDICAID | 01 |
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