Hidalgo, Martha A.

Hidalgo, Martha A. is an individual health care provider with primary practice located at 2116 Craig Rd , Eau Claire WI 54701-6149. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Hidalgo, Martha A. can be contacted via phone (715) 858-4500.

Contact Information

Primary practice address
2116 Craig Rd Eau Claire WI 54701-6149
Phone: (715) 858-4500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301063363 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 44498 Wisconsin

Profile Details

NPI number 1508864547
LBN Legal business name Hidalgo, Martha A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Nov 17th, 2022 - about 2 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 1508864547 NPPES
Minnesota Other 12D77HI BCBS
Minnesota MEDICAID 32367500 BCBS
Minnesota MEDICAID 3352938 BCBS
Minnesota Other 700B710030 BCBS
Minnesota Other 1018460 BCBS

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