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:
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Health care specialties

SpecialtyCodeLicense #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 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770589202 NPPES
Wisconsin MEDICAID 32606100
Wisconsin Other 7590215
Wisconsin Other 810127302
Wisconsin Other 7310019

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