Harper, Benny Loyd

Harper, Benny Loyd is an individual health care provider with primary practice located at 616 W Forest Ave , Jackson TN 38301-3902. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Harper, Benny Loyd can be contacted via phone (731) 422-0330.

Contact Information

Primary practice address
616 W Forest Ave Jackson TN 38301-3902
Phone: (731) 422-0330
Fax: (731) 422-0220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5082 Tennessee

Profile Details

NPI number 1346284379
LBN Legal business name Harper, Benny Loyd
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Nov 29th, 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 1346284379 NPPES
Tennessee MEDICAID 1523175

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