Harris, Gary
Harris, Gary is an individual health care provider with primary practice located at 913 N Dixie Ave , Elizabethtown KY 42701-2503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Harris, Gary can be contacted via phone (877) 783-6257.Contact Information
Primary practice address
913 N Dixie Ave
Elizabethtown KY 42701-2503
Phone: (877) 783-6257
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 28520 | Kentucky |
Profile Details
| NPI number | 1053425363 |
|---|---|
| LBN Legal business name | Harris, Gary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2006 |
| Last updated | Oct 19th, 2007 - about 17 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 | 1053425363 | NPPES |
| Kentucky | MEDICAID | 64285208 |
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