Harris, Charles F

Harris, Charles F is an individual health care provider with primary practice located at 982 W. Broadway , Jackson WY 83002. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Harris, Charles F can be contacted via phone (307) 733-8002.

Contact Information

Primary practice address
982 W. Broadway Jackson WY 83002
Phone: (307) 733-8002
Fax: (307) 733-0032
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 76 Wyoming
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 76 Wyoming

Profile Details

NPI number 1386780237
LBN Legal business name Harris, Charles F
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Oct 26th, 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 1386780237 NPPES
Wyoming MEDICAID 109651600

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