Phouybanhdyt, Hinhpalom A
Phouybanhdyt, Hinhpalom A is an sole proprietor health care provider with primary practice located at 3015 N 114Th St , Wauwatosa WI 53222-4208. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Phouybanhdyt, Hinhpalom A can be contacted via phone (414) 431-4444.Contact Information
Primary practice address
3015 N 114Th St
Wauwatosa WI 53222-4208
Phone: (414) 431-4444
Fax: (414) 431-0858
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 43721700 | Wisconsin |
Profile Details
| NPI number | 1063685634 |
|---|---|
| LBN Legal business name | Phouybanhdyt, Hinhpalom A |
| Credentials | M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2008 |
| Last updated | Apr 3rd, 2008 - about 18 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 | 1063685634 | NPPES |
| Wisconsin | MEDICAID | 43721700 |
Popular Providers
-
Moore, Stacey L
1220 Dewey Ave , Wauwatosa WI 53213-2504 -
Smothers, David Brian
10425 W North Ave , Wauwatosa WI 53226-2416 -
Lindo, Jacqueline Griselle
10045 W Lisbon Ave Ste 221 , Wauwatosa WI 53222-2446 -
Wallace, Ingrid
2525 N Mayfair Rd Suite 200, Wauwatosa WI 53226-1403 -
Brudnicki, Christine Anne
3800 N Mayfair Road , Wauwatosa WI 53222-2213 -
Trenier, Theresa
7251 W North Ave , Wauwatosa WI 53213-1851 -
Cesario, Debra Jean
1011 N Mayfair Rd 304, Wauwatosa WI 53226-3431 -
Ammel, Curt
2600 N Mayfair Rd Suite #305, Wauwatosa WI 53226-1309