Harris, Wendell J.
Harris, Wendell J. is an sole proprietor health care provider with primary practice located at 2821 N 4Th St Suite 224, Milwaukee WI 53212-2362. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Harris, Wendell J. can be contacted via phone (414) 265-5538.Contact Information
Primary practice address
2821 N 4Th St Suite 224
Milwaukee WI 53212-2362
Phone: (414) 265-5538
Fax: (414) 265-4533
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 15370-130 | Wisconsin |
Profile Details
| NPI number | 1932302718 |
|---|---|
| LBN Legal business name | Harris, Wendell J. |
| Credentials | M.S. -CADC-I |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1932302718 | NPPES |
| Wisconsin | MEDICAID | 42247000 | |
| Wisconsin | MEDICAID | 42247021 |
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