Harris, Brian Walter

Harris, Brian Walter is an individual health care provider with primary practice located at 629D Lowther Rd , Lewisberry PA 17339-9527. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Harris, Brian Walter can be contacted via phone (717) 932-5200.

Contact Information

Primary practice address
629D Lowther Rd Lewisberry PA 17339-9527
Fax: (717) 932-3095
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD028520E Pennsylvania

Profile Details

NPI number 1215923917
LBN Legal business name Harris, Brian Walter
Credentials PHD MD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Jan 18th, 2012 - about 12 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 1215923917 NPPES
Pennsylvania MEDICAID 001047594

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