William M Harris

Individual provider Active NPI Peer Specialist · Philippi, WV

NPI 1972172898 · NPPES record last updated Dec 30, 2022

Key facts

NPI
1972172898
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
Practice address
109 Wabash Ave
Philippi, WV 26416-0019
Phone
(304) 841-8554
Fax
(304) 457-1296
NPI assigned
Jun 24, 2021
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Yes

Addresses

Primary practice location

109 Wabash Ave
Philippi, WV 26416-0019

Mailing address

109 Wabash Ave
Philippi, WV 26416-0019
Phone (304) 457-1670

Other providers in Philippi, WV

All providers in Philippi, WV · Peer Specialist in West Virginia

Sources for this page

Verify at the official NPI Registry.