Spears-Hood, Electisa
Spears-Hood, Electisa is an sole proprietor health care provider with primary practice located at 5019 W North Ave Ste 210 , Milwaukee WI 53208-1121. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Administrator, Nursing Service Providers / Home Health, Agencies / Home Health. Agencies / Home Health is her primary health care specialty. Spears-Hood, Electisa can be contacted via phone (414) 585-0173.Contact Information
Primary practice address
5019 W North Ave Ste 210
Milwaukee WI 53208-1121
Phone: (414) 585-0173
Fax: (414) 239-8166
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Administrator | 163WA2000X | 165192 | Wisconsin |
| Nursing Service Providers / Home Health | 163WH0200X | 165192 | Wisconsin |
| Agencies / Home Health | 251E00000X |
Profile Details
| NPI number | 1568940179 |
|---|---|
| LBN Legal business name | Spears-Hood, Electisa |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 6th, 2018 |
| Last updated | Aug 6th, 2018 - about 8 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 | 1568940179 | NPPES |
| Wisconsin | MEDICAID | 100079511 |
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