Harkins, Dennis E

Harkins, Dennis E is an individual health care provider with primary practice located at 2851B New Pinery Rd , Portage WI 53901-9257. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Harkins, Dennis E can be contacted via phone (608) 742-5522.

Contact Information

Primary practice address
2851B New Pinery Rd Portage WI 53901-9257
Phone: (608) 742-5522
Fax: (608) 745-5454
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1625-035 Wisconsin

Profile Details

NPI number 1124071352
LBN Legal business name Harkins, Dennis E
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Nov 18th, 2020 - about 6 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 1124071352 NPPES
Wisconsin MEDICAID 1124071352

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