Harris, Paul M
Harris, Paul M is an sole proprietor health care provider with primary practice located at 580 Redbird Cir , De Pere WI 54115-8785. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Harris, Paul M can be contacted via phone (920) 632-4699.Contact Information
Primary practice address
580 Redbird Cir
De Pere WI 54115-8785
Phone: (920) 632-4699
Fax: (920) 632-4704
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4066 | Wisconsin |
Profile Details
| NPI number | 1659383529 |
|---|---|
| LBN Legal business name | Harris, Paul M |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2006 |
| Last updated | May 30th, 2019 - about 6 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 | 1659383529 | NPPES |
| Wisconsin | MEDICAID | 38956100 | |
| Wisconsin | Other | 201617580012 |
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