Harris, Charles Eugene

Harris, Charles Eugene is an sole proprietor health care provider with primary practice located at 5427-A Gex Rd , Diamondhead MS 39525. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Harris, Charles Eugene can be contacted via phone (228) 255-4832.

Contact Information

Primary practice address
5427-A Gex Rd Diamondhead MS 39525
Phone: (228) 255-4832
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 36-620 Mississippi

Profile Details

NPI number 1346461423
LBN Legal business name Harris, Charles Eugene
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2007
Last updated Jul 8th, 2007 - about 18 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 1346461423 NPPES
Mississippi MEDICAID 04804801

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