Hago, Patricia Ivonne
Hago, Patricia Ivonne is an individual health care provider with primary practice located at 801 S 70Th St , West Allis WI 53214-3147. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hago, Patricia Ivonne can be contacted via phone (414) 773-6600.Contact Information
Primary practice address
801 S 70Th St
West Allis WI 53214-3147
Phone: (414) 773-6600
Fax: (414) 773-6656
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 40944 | Wisconsin |
Profile Details
NPI number | 1770589202 |
---|---|
LBN Legal business name | Hago, Patricia Ivonne |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 21st, 2005 |
Last updated | Jun 11th, 2012 - 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 | 1770589202 | NPPES |
Wisconsin | MEDICAID | 32606100 | |
Wisconsin | Other | 7590215 | |
Wisconsin | Other | 810127302 | |
Wisconsin | Other | 7310019 |
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