Harrison, Richard L

Harrison, Richard L is an individual health care provider with primary practice located at 2845 Greenbrier Rd , Green Bay WI 54311-6519. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Harrison, Richard L can be contacted via phone (920) 288-8350.

Contact Information

Primary practice address
2845 Greenbrier Rd Green Bay WI 54311-6519
Phone: (920) 288-8350
Fax: (920) 288-8355
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 37332 Wisconsin

Profile Details

NPI number 1912935115
LBN Legal business name Harrison, Richard L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Apr 9th, 2024 - 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 1912935115 NPPES
Wisconsin MEDICAID 32184000
Wisconsin MEDICAID 104444032
Wisconsin Other P00032942
Wisconsin MEDICAID 104386019
Wisconsin MEDICAID 104449496
Wisconsin MEDICAID 104584900
Wisconsin Other 140005931
Wisconsin Other 1402100751

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