Houselog, Beth A
Houselog, Beth A is an sole proprietor health care provider with primary practice located at 4315 S Lake Dr , Cudahy WI 53110-1241. She recently has only one registered license in Nursing Service Providers / Case Management, which is considered as her primary health care specialty. Houselog, Beth A can be contacted via phone (414) 294-4622.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Case Management | 163WC0400X | Wisconsin |
Profile Details
| NPI number | 1194738559 |
|---|---|
| LBN Legal business name | Houselog, Beth A |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1194738559 | NPPES |
| Wisconsin | MEDICAID | 39970000 |
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