Harmon, Edwin P

Harmon, Edwin P is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Pediatric Urology is his primary health care specialty. Harmon, Edwin P can be contacted via phone (601) 925-6805.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 925-6805
Fax: (601) 926-4978
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4774 Alaska
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 06918 Mississippi

Profile Details

NPI number 1073554275
LBN Legal business name Harmon, Edwin P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jul 24th, 2012 - 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 1073554275 NPPES
Alaska MEDICAID MD4774
Alaska MEDICAID 00017183

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