Harris, Charles Larry

Harris, Charles Larry is an individual health care provider with primary practice located at 633 Battlefield Blvd S Ste 300, Chesapeake VA 23322. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Harris, Charles Larry can be contacted via phone (757) 233-4700.

Contact Information

Primary practice address
633 Battlefield Blvd S Ste 300 Chesapeake VA 23322
Phone: (757) 233-4700
Fax: (757) 233-4701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101034993 Virginia

Profile Details

NPI number 1144295460
LBN Legal business name Harris, Charles Larry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Oct 24th, 2011 - about 13 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 1144295460 NPPES
Virginia MEDICAID 010035864

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