Adesso, Vincent Joseph
Adesso, Vincent Joseph is an sole proprietor health care provider with primary practice located at 5555 North Port Washington Rd Ste 304, Milwaukee WI 53217-4927. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Adesso, Vincent Joseph can be contacted via phone (414) 967-9552.Contact Information
Primary practice address
5555 North Port Washington Rd Ste 304
Milwaukee WI 53217-4927
Phone: (414) 967-9552
Fax: (414) 967-9550
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 608057 | Wisconsin |
Profile Details
| NPI number | 1316907694 |
|---|---|
| LBN Legal business name | Adesso, Vincent Joseph |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Jul 17th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316907694 | NPPES |
| Wisconsin | MEDICAID | 000084219 |
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