Green, William Harris

Green, William Harris is an individual health care provider with primary practice located at 1707 Riggins Rd , Tallahassee FL 32308-5317. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Green, William Harris can be contacted via phone (850) 877-4134.

Contact Information

Primary practice address
1707 Riggins Rd Tallahassee FL 32308-5317
Fax: (850) 402-9130
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME108696 Florida

Profile Details

NPI number 1023213634
LBN Legal business name Green, William Harris
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2007
Last updated Jun 13th, 2013 - about 11 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 1023213634 NPPES
Florida Other 14AN7 BLUE CROSS BLUE SHIELD OF FLORIDA

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