Harris, Bennett
Harris, Bennett is an individual health care provider with primary practice located at 3365 S 103Rd St Ste 210 , Milwaukee WI 53227-4161. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Harris, Bennett can be contacted via phone (414) 228-4800.Contact Information
Primary practice address
3365 S 103Rd St Ste 210
Milwaukee WI 53227-4161
Phone: (414) 228-4800
Fax: (262) 432-9004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 036.154123 | Illinois |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 34.014710 | Ohio |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 74225 | Wisconsin |
Profile Details
| NPI number | 1033596176 |
|---|---|
| LBN Legal business name | Harris, Bennett |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2015 |
| Last updated | Nov 10th, 2020 - about 4 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 | 1033596176 | NPPES |
| Wisconsin | MEDICAID | 1033596176 |
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