Raven M Hubbert
Health Service
4741 N 72nd St
Milwaukee
, Wisconsin 53218-4815
Raven M Hubbert
Health Service
4741 N 72nd St
Milwaukee
, Wisconsin 53218-4815
(414) 982-8107
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About
Features
Specialties
- Health Service
Languages spoken
- English
Location
First Address
- Raven M Hubbert
- 4741 N 72nd St
- Milwaukee, WI
- Zip : 53218-4815
- Phone : (414) 982-8107
Second Address
- Raven M Hubbert
- 4741 N 72nd St
- Milwaukee, WI
- Zip : 53218-4815
- Phone : (414) 982-8107
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TH0100X | Health Service |
National Provider Identifier
| NPI | 1336810217 |
|---|---|
| Provider Name | Raven M Hubbert |
| First Address | Milwaukee, WI 53218-4815 |
| Second Address | Milwaukee, WI 53218-4815 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/09/2021 |
| Last Update Date | 21/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 83441842 | (05) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.