Dubose, Haley A

Dubose, Haley A is an individual health care provider with primary practice located at 1575 N Rivercenter Dr , Milwaukee WI 53212-3978. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Dubose, Haley A can be contacted via phone (414) 283-8444.

Contact Information

Primary practice address
1575 N Rivercenter Dr Milwaukee WI 53212-3978
Phone: (414) 283-8444
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 11448-033 Wisconsin

Profile Details

NPI number 1467101436
LBN Legal business name Dubose, Haley A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2022
Last updated May 5th, 2023 - about 3 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 1467101436 NPPES
Wisconsin MEDICAID 100198471

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