Harris, Carolyn K

Harris, Carolyn K is an individual health care provider with primary practice located at 2215 Landover Pl , Lynchburg VA 24501-2115. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Harris, Carolyn K can be contacted via phone (434) 947-3944.

Contact Information

Primary practice address
2215 Landover Pl Lynchburg VA 24501-2115
Phone: (434) 947-3944
Fax: (434) 544-2316
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0017000378 Virginia

Profile Details

NPI number 1083697262
LBN Legal business name Harris, Carolyn K
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Mar 6th, 2009 - about 15 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 1083697262 NPPES
Other 013531C83 MEDICARE PROVIDER NUMBER PRIOR TO 09/01/07
Other 014912C58 MEDICARE PROVIDER NUMBER PRIOR TO 09/01/07
Other C03658 MEDICARE PROVIDER NUMBER PRIOR TO 09/01/07
MEDICAID 1083697262 MEDICARE PROVIDER NUMBER PRIOR TO 09/01/07
Other 1407936941 MEDICARE PROVIDER NUMBER PRIOR TO 09/01/07
Other P00667138 MEDICARE PROVIDER NUMBER PRIOR TO 09/01/07
Other 1528155892 MEDICARE PROVIDER NUMBER PRIOR TO 09/01/07
Other C08183 MEDICARE PROVIDER NUMBER PRIOR TO 09/01/07

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