Anthony, Harris C

Anthony, Harris C is an individual health care provider with primary practice located at 1208 Mission 66 , Vicksburg MS 39183-3137. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Anthony, Harris C can be contacted via phone (601) 636-5541.

Contact Information

Primary practice address
1208 Mission 66 Vicksburg MS 39183-3137
Phone: (601) 636-5541
Fax: (601) 636-5541
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1255377214
LBN Legal business name Anthony, Harris C
Credentials OPTICIAN
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Jul 8th, 2007 - about 17 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 1255377214 NPPES
Mississippi MEDICAID 00880167

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