Harris, Carson R
Harris, Carson R is an individual health care provider with primary practice located at 8040 Old Cedar Ave S Ste 100 , Bloomington MN 55425-1205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Harris, Carson R can be contacted via phone (651) 254-3456.Contact Information
Primary practice address
8040 Old Cedar Ave S Ste 100
Bloomington MN 55425-1205
Phone: (651) 254-3456
Fax: (651) 254-5216
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 31091 | Minnesota |
Profile Details
| NPI number | 1598730152 |
|---|---|
| LBN Legal business name | Harris, Carson R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Jun 11th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598730152 | NPPES |
| Minnesota | MEDICAID | 53585100 |
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