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
Fax: (414) 239-8166
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568940179 NPPES
Wisconsin MEDICAID 100079511

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