Hodous, Michael

Hodous, Michael is an individual health care provider with primary practice located at 9200 W Wisconsin Ave , Milwaukee WI 53226-3522. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Hodous, Michael can be contacted via phone (414) 805-6850.

Contact Information

Primary practice address
9200 W Wisconsin Ave Milwaukee WI 53226-3522
Phone: (414) 805-6850
Fax: (414) 805-6851
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 6018 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X 6018 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 6018 Wisconsin

Profile Details

NPI number 1437551850
LBN Legal business name Hodous, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2014
Last updated Dec 14th, 2017 - about 9 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 1437551850 NPPES
Wisconsin MEDICAID 1437551850

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