Provider Demographics
NPI:1831152776
Name:RHOE, MICHAEL D (LPN)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:D
Last Name:RHOE
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:714 19TH AVE
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:WI
Mailing Address - Zip Code:53566-1659
Mailing Address - Country:US
Mailing Address - Phone:608-329-7676
Mailing Address - Fax:
Practice Address - Street 1:714 19TH AVE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:WI
Practice Address - Zip Code:53566-1659
Practice Address - Country:US
Practice Address - Phone:608-329-7676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2007-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI31621031164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI39966000Medicare ID - Type UnspecifiedLPN RCS