Harris, Vivian

Harris, Vivian is an sole proprietor health care provider with primary practice located at 3707 W Good Hope Rd Apt 7 , Milwaukee WI 53209-2362. She recently has 4 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Agencies / Community/Behavioral Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Agencies / Case Management. Agencies / Case Management is her primary health care specialty. Harris, Vivian can be contacted via phone (414) 554-4994.

Contact Information

Primary practice address
3707 W Good Hope Rd Apt 7 Milwaukee WI 53209-2362
Phone: (414) 554-4994
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Agencies / Community/Behavioral Health 251S00000X Wisconsin
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X Wisconsin
Agencies / Case Management 251B00000X Wisconsin

Profile Details

NPI number 1407262678
LBN Legal business name Harris, Vivian
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2014
Last updated Apr 16th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407262678 NPPES
Wisconsin MEDICAID 1407262678

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