Harrell, Thomas Jacob Howard
Harrell, Thomas Jacob Howard is an sole proprietor health care provider with primary practice located at 4008 Burnett Womack Bldg Cb7228 , Chapel Hill NC 27599. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Harrell, Thomas Jacob Howard can be contacted via phone (919) 843-6188.Contact Information
Primary practice address
4008 Burnett Womack Bldg Cb7228
Chapel Hill NC 27599
Phone: (919) 843-6188
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | ME153579 | Florida |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME153579 | Florida |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2016-00530 | North Carolina |
Profile Details
| NPI number | 1356633390 |
|---|---|
| LBN Legal business name | Harrell, Thomas Jacob Howard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2011 |
| Last updated | Nov 24th, 2021 - about 3 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 | 1356633390 | NPPES |
| Florida | MEDICAID | 112516500 | |
| Florida | Other | OL158 | |
| Florida | Other | OL159 |
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