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
Fax:
Website:

Health care specialties

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093317323 NPPES
New Jersey MEDICAID 84-4408160

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