Harrell, Harry Jethro
Harrell, Harry Jethro is an sole proprietor health care provider with primary practice located at 800 Professional Acres Dr , Jonesboro AR 72401-4340. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Harrell, Harry Jethro can be contacted via phone (870) 333-1087.Contact Information
Primary practice address
800 Professional Acres Dr
Jonesboro AR 72401-4340
Phone: (870) 333-1087
Fax: (870) 333-1088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2082 | Arkansas |
Profile Details
| NPI number | 1114088861 |
|---|---|
| LBN Legal business name | Harrell, Harry Jethro |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Jan 19th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114088861 | NPPES |
| Arkansas | MEDICAID | 152986722 |
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