Ford, Raphael

Ford, Raphael is an individual health care provider with primary practice located at 5600 W Brown Deer Rd Ste 106 , Brown Deer WI 53223-2346. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Ford, Raphael can be contacted via phone (141) 451-7763.

Contact Information

Primary practice address
5600 W Brown Deer Rd Ste 106 Brown Deer WI 53223-2346
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5460-226 Wisconsin

Profile Details

NPI number 1982398459
LBN Legal business name Ford, Raphael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2023
Last updated Jun 6th, 2023 - about last year

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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