Holifield, James Walter
Holifield, James Walter is an sole proprietor health care provider with primary practice located at 6944 N Port Washington Rd , Glendale WI 53217-3923. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Holifield, James Walter can be contacted via phone (414) 540-0808.Contact Information
Primary practice address
6944 N Port Washington Rd
Glendale WI 53217-3923
Phone: (414) 540-0808
Fax: (414) 540-9408
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 3086-123 | Wisconsin |
Profile Details
| NPI number | 1568506814 |
|---|---|
| LBN Legal business name | Holifield, James Walter |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1568506814 | NPPES |
| Wisconsin | MEDICAID | 39293200 |
Popular Providers
-
Wendlick, Candace
6791 N Green Bay Ave , Glendale WI 53209-3422 -
Binns, Jazmin Christine
5555 N Port Washington Rd , Glendale WI 53217-4929 -
Lewis, Verlynuette
1720 W Florist Ave Sebastian Family Psychology Practice, Glendale WI 53209-3863 -
Rousseau, Jerrold Bernard
6270 N Port Washington Rd Suite 201, Glendale WI 53217-4311 -
Rousseau, Catherine Quinn
203 W Coventry Ct Apt 103 , Glendale WI 53217-3982 -
Marsh, Deidre
5215 N Ironwood Rd Suite 202 Pmb 1013, Glendale WI 53217 -
Jendusa, John Peter
5225 North Ironwood Road 102, Glendale WI 53217 -
Johnson, Jeremiah
5215 N Ironwood Rd Ste 202 , Glendale WI 53217-4908