Harris, Diane I.
Harris, Diane I. is an individual health care provider with primary practice located at 850 Sequoia Cir , Fort Bragg CA 95437-5490. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Harris, Diane I. can be contacted via phone (707) 964-0259.Contact Information
Primary practice address
850 Sequoia Cir
Fort Bragg CA 95437-5490
Phone: (707) 964-0259
Fax: (707) 964-0765
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G44893 | California |
Profile Details
| NPI number | 1386656312 |
|---|---|
| LBN Legal business name | Harris, Diane I. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Nov 2nd, 2015 - about 9 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 | 1386656312 | NPPES |
| California | Other | 00G448930 | MEDI-CAL |
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