Amerine Harris, Dena

Amerine Harris, Dena is an individual health care provider with primary practice located at 4900 Rogers Ave Ste 103A , Fort Smith AR 72903-2068. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Amerine Harris, Dena can be contacted via phone (479) 452-8200.

Contact Information

Primary practice address
4900 Rogers Ave Ste 103A Fort Smith AR 72903-2068
Fax: (479) 452-6779
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2339 Arkansas

Profile Details

NPI number 1801875794
LBN Legal business name Amerine Harris, Dena
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Apr 14th, 2011 - about 13 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 1801875794 NPPES
Arkansas MEDICAID 102252722

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