Harris, Antionette Michelle

Harris, Antionette Michelle is an individual health care provider with primary practice located at 1001 S Douglas Hwy Ste 110 , Gillette WY 82716-4951. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Harris, Antionette Michelle can be contacted via phone (307) 686-9422.

Contact Information

Primary practice address
1001 S Douglas Hwy Ste 110 Gillette WY 82716-4951
Phone: (307) 686-9422
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PPC-872 Wyoming

Profile Details

NPI number 1366833832
LBN Legal business name Harris, Antionette Michelle
Credentials PPC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2015
Last updated Feb 8th, 2015 - about 11 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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