Sierra Escobedo, Hector

Sierra Escobedo, Hector is an individual health care provider with primary practice located at 975 Port Washington Rd , Grafton WI 53024-9201. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Sierra Escobedo, Hector can be contacted via phone (262) 329-1000.

Contact Information

Primary practice address
975 Port Washington Rd Grafton WI 53024-9201
Phone: (262) 329-1000
Fax: (414) 385-1590
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X Missouri
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 138 Wisconsin

Profile Details

NPI number 1538629274
LBN Legal business name Sierra Escobedo, Hector
Credentials AA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2019
Last updated Dec 5th, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1538629274 NPPES
Wisconsin MEDICAID 100090998

Popular Providers