Houghton, Mary Alice

Houghton, Mary Alice is an individual health care provider with primary practice located at 2577 N Downer Ave , Milwaukee WI 53211-4253. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Houghton, Mary Alice can be contacted via phone (414) 964-9201.

Contact Information

Primary practice address
2577 N Downer Ave Milwaukee WI 53211-4253
Phone: (414) 964-9201
Fax: (414) 964-1915
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 17770 Wisconsin

Profile Details

NPI number 1821068263
LBN Legal business name Houghton, Mary Alice
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Jul 8th, 2007 - about 19 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 1821068263 NPPES
Wisconsin MEDICAID 3085400

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