Harris, Scott W

Harris, Scott W is an individual health care provider with primary practice located at 5000 Memorial Dr , Two Rivers WI 54241-3900. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Harris, Scott W can be contacted via phone (920) 794-5000.

Contact Information

Primary practice address
5000 Memorial Dr Two Rivers WI 54241-3900
Phone: (920) 794-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 140025-030 Wisconsin

Profile Details

NPI number 1215912209
LBN Legal business name Harris, Scott W
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated May 30th, 2023 - about last year

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 1215912209 NPPES
Wisconsin MEDICAID 44308800
Wisconsin Other 051052

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