Velissaris, Matthew Lee
Velissaris, Matthew Lee is an individual health care provider with primary practice located at 4001 W Capitol Dr , Milwaukee WI 53216-2530. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Velissaris, Matthew Lee can be contacted via phone (414) 759-5193.Contact Information
Primary practice address
4001 W Capitol Dr
Milwaukee WI 53216-2530
Phone: (414) 759-5193
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 1942-226 | Wisconsin |
Profile Details
| NPI number | 1013341221 |
|---|---|
| LBN Legal business name | Velissaris, Matthew Lee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2013 |
| Last updated | Jun 9th, 2014 - about 12 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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