Hubbert, Raven M
Hubbert, Raven M is an sole proprietor health care provider with primary practice located at 2902 W Roosevelt Dr , Milwaukee WI 53216-1838. She recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as her primary health care specialty. Hubbert, Raven M can be contacted via phone (414) 982-8107.Contact Information
Primary practice address
2902 W Roosevelt Dr
Milwaukee WI 53216-1838
Phone: (414) 982-8107
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Adult Care Home | 311ZA0620X | 0021059 | Wisconsin |
Profile Details
| NPI number | 1336810217 |
|---|---|
| LBN Legal business name | Hubbert, Raven M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2021 |
| Last updated | Jun 17th, 2026 - about 5 months 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 | 1336810217 | NPPES |
| Wisconsin | MEDICAID | 100393125 |
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