Provider Demographics
NPI:1114808276
Name:HOSOKAWA, ERI
Entity type:Individual
Prefix:
First Name:ERI
Middle Name:
Last Name:HOSOKAWA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2725 MARSHALL CT APT 402
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53705-2288
Mailing Address - Country:US
Mailing Address - Phone:541-286-2856
Mailing Address - Fax:
Practice Address - Street 1:2725 MARSHALL CT APT 402
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53705-2288
Practice Address - Country:US
Practice Address - Phone:541-286-2856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program