Harris, Blythe Erin
Harris, Blythe Erin is an individual health care provider with primary practice located at 1125 Madison St , Jefferson City MO 65101-5227. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Harris, Blythe Erin can be contacted via phone (573) 563-5357.Contact Information
Primary practice address
1125 Madison St
Jefferson City MO 65101-5227
Phone: (573) 563-5357
Fax: (573) 632-5876
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 2014013678 | Missouri |
Profile Details
NPI number | 1801833959 |
---|---|
LBN Legal business name | Harris, Blythe Erin |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 31st, 2006 |
Last updated | May 28th, 2024 - about 4 months 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 | 1801833959 | NPPES |
Iowa | MEDICAID | 0492231 |
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