IndividualActive
Alfatah Hassan
NPI 1164173605 · Intermediate Emergency Medical Technician · Cudahy, WI
Provider details
- NPI number
- 1164173605
- Entity type
- Individual
- Primary specialty
- Intermediate Emergency Medical TechnicianEmergency Medical Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- H2500139810006 (WI)
Mailing address
5515 S Disch Ave Apt 2
Cudahy, WI 53110-2630
Registry dates
- Enumerated
- 2022-01-17
- Last updated
- 2023-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.