Harker, Debra Ann

Harker, Debra Ann is an individual health care provider with primary practice located at 615 N Michigan St , South Bend IN 46601-1033. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Harker, Debra Ann can be contacted via phone (574) 647-6786.

Contact Information

Primary practice address
615 N Michigan St South Bend IN 46601-1033
Phone: (574) 647-6786
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71005558A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 073780 Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 041-318278 Illinois

Profile Details

NPI number 1376895409
LBN Legal business name Harker, Debra Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2012
Last updated Sep 2nd, 2016 - about 9 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 1376895409 NPPES
Indiana MEDICAID 201311250
Indiana Other 000000948411

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