Harris, Paul W
Harris, Paul W is an individual health care provider with primary practice located at 3267 S 16Tj Street Room 200, Milwaukee WI 53215-4500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Harris, Paul W can be contacted via phone (414) 389-3111.Contact Information
Primary practice address
3267 S 16Tj Street Room 200
Milwaukee WI 53215-4500
Phone: (414) 389-3111
Fax: (414) 389-3110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | 46166 | Wisconsin |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 46166 | Wisconsin |
Profile Details
| NPI number | 1205873882 |
|---|---|
| LBN Legal business name | Harris, Paul W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Nov 4th, 2010 - about 14 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 | 1205873882 | NPPES |
| Wisconsin | MEDICAID | 34454900 |
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