Provider Demographics
NPI:1598911240
Name:HARVEY, WILLIAM JAMES IV (CERT'D ADV ROLFER)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:JAMES
Last Name:HARVEY
Suffix:IV
Gender:M
Credentials:CERT'D ADV ROLFER
Other - Prefix:
Other - First Name:BILL
Other - Middle Name:
Other - Last Name:HARVEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:C A ROLFER
Mailing Address - Street 1:3901B MAIN ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19127-2191
Mailing Address - Country:US
Mailing Address - Phone:215-508-3065
Mailing Address - Fax:215-508-2831
Practice Address - Street 1:3901B MAIN ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19127-2191
Practice Address - Country:US
Practice Address - Phone:215-508-3065
Practice Address - Fax:215-508-2831
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-13
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
N. A.174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist