Harasymiw, James W

Harasymiw, James W is an sole proprietor health care provider with primary practice located at W243S7630 Evergreen Dr , Mukwonago WI 53149. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Harasymiw, James W can be contacted via phone (262) 662-1116.

Contact Information

Primary practice address
W243S7630 Evergreen Dr Mukwonago WI 53149
Phone: (262) 662-1116
Fax: (262) 662-1118
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1625 Wisconsin
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X

Profile Details

NPI number 1750370045
LBN Legal business name Harasymiw, James W
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2005
Last updated Apr 7th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750370045 NPPES
Wisconsin MEDICAID 39192500

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