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
Fax: (573) 632-5876
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801833959 NPPES
Iowa MEDICAID 0492231

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