Harris, Alberta
Harris, Alberta is an sole proprietor health care provider with primary practice located at 22 Bayview Ave Ste 2 , Jersey City NJ 07305-4204. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Harris, Alberta can be contacted via phone (347) 485-2160.Contact Information
Primary practice address
22 Bayview Ave Ste 2
Jersey City NJ 07305-4204
Phone: (347) 485-2160
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 886476741 | California |
Profile Details
NPI number | 1093317323 |
---|---|
LBN Legal business name | Harris, Alberta |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 11th, 2020 |
Last updated | Nov 11th, 2020 - about 5 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 | 1093317323 | NPPES |
New Jersey | MEDICAID | 84-4408160 |
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