Harris-Forbes, Jennifer

Harris-Forbes, Jennifer is an individual health care provider with primary practice located at 300 Crooks St , Green Bay WI 54301-4527. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Harris-Forbes, Jennifer can be contacted via phone (920) 436-4360.

Contact Information

Primary practice address
300 Crooks St Green Bay WI 54301-4527
Phone: (920) 436-4360
Fax: (920) 437-3540
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15364-132 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 4022-125 Wisconsin

Profile Details

NPI number 1154594372
LBN Legal business name Harris-Forbes, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2008
Last updated Apr 29th, 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 1154594372 NPPES
Wisconsin MEDICAID 1154594372

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