Ford, Raphael
Ford, Raphael is an individual health care provider with primary practice located at 5600 W Brown Deer Rd Ste 106 , Brown Deer WI 53223-2346. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Ford, Raphael can be contacted via phone (141) 451-7763.Contact Information
Primary practice address
5600 W Brown Deer Rd Ste 106
Brown Deer WI 53223-2346
Phone: (141) 451-7763
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 5460-226 | Wisconsin |
Profile Details
| NPI number | 1982398459 |
|---|---|
| LBN Legal business name | Ford, Raphael |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2023 |
| Last updated | Jun 6th, 2023 - about 3 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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