Harris, David W.
Harris, David W. is an sole proprietor health care provider with primary practice located at 1803 N Estrada , Mesa AZ 85207-4017. He recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as his primary health care specialty. Harris, David W. can be contacted via phone (480) 854-3707.Contact Information
Primary practice address
1803 N Estrada
Mesa AZ 85207-4017
Phone: (480) 854-3707
Fax: (480) 854-3707
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Managed Care Organizations / Health Maintenance Organization | 302R00000X | 25099 | Arizona |
Profile Details
| NPI number | 1912969007 |
|---|---|
| LBN Legal business name | Harris, David W. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 4th, 2006 |
| Last updated | Dec 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912969007 | NPPES |
| Colorado | MEDICAID | 01172162 |
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