Harris, Deshawn Antonio

Harris, Deshawn Antonio is an individual health care provider with primary practice located at 601 N Breiel Blvd Unit B , Middletown OH 45042-3899. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Harris, Deshawn Antonio can be contacted via phone (513) 454-1111.

Contact Information

Primary practice address
601 N Breiel Blvd Unit B Middletown OH 45042-3899
Phone: (513) 454-1111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3017379 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.026018 Ohio

Profile Details

NPI number 1558503615
LBN Legal business name Harris, Deshawn Antonio
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2009
Last updated Sep 14th, 2022 - about 2 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 1558503615 NPPES
Ohio MEDICAID 0385393

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