Harries, David Paul
Harries, David Paul is an sole proprietor health care provider with primary practice located at 1919 Lathrop St Ste 221 , Fairbanks AK 99701-5943. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Harries, David Paul can be contacted via phone (907) 458-5638.Contact Information
Primary practice address
1919 Lathrop St Ste 221
Fairbanks AK 99701-5943
Phone: (907) 458-5638
Fax: (907) 458-6415
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 210437 | Alaska |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 01081532A | Indiana |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 37745 | Kentucky |
Profile Details
| NPI number | 1104924109 |
|---|---|
| LBN Legal business name | Harries, David Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Oct 30th, 2023 - about last year |
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 | 1104924109 | NPPES |
| Kentucky | Other | 00188001 | MEDICARE PTAN |
| Kentucky | MEDICAID | 64070550 | MEDICARE PTAN |
| Kentucky | MEDICAID | 300022878 | MEDICARE PTAN |
| Kentucky | Other | IN4081001 | MEDICARE PTAN |
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