Harris, Wendell J.

Harris, Wendell J. is an sole proprietor health care provider with primary practice located at 2821 N 4Th St Suite 224, Milwaukee WI 53212-2362. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Harris, Wendell J. can be contacted via phone (414) 265-5538.

Contact Information

Primary practice address
2821 N 4Th St Suite 224 Milwaukee WI 53212-2362
Phone: (414) 265-5538
Fax: (414) 265-4533
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 15370-130 Wisconsin

Profile Details

NPI number 1932302718
LBN Legal business name Harris, Wendell J.
Credentials M.S. -CADC-I
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2007
Last updated Jul 9th, 2007 - about 19 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 1932302718 NPPES
Wisconsin MEDICAID 42247000
Wisconsin MEDICAID 42247021

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