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:
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Health care specialties

SpecialtyCodeLicense #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 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316907694 NPPES
Wisconsin MEDICAID 000084219

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