Harris, Gerald Edwin
Harris, Gerald Edwin is an individual health care provider with primary practice located at 595 Buckingham Way Suite 430, San Francisco CA 94132-1909. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Harris, Gerald Edwin can be contacted via phone (415) 242-5433.Contact Information
Primary practice address
595 Buckingham Way Suite 430
San Francisco CA 94132-1909
Phone: (415) 242-5433
Fax: (415) 242-8904
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | G12151 | California |
Profile Details
NPI number | 1730176983 |
---|---|
LBN Legal business name | Harris, Gerald Edwin |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 3rd, 2005 |
Last updated | Sep 22nd, 2009 - about 15 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 | 1730176983 | NPPES |
California | Other | GR0088860 | MEDI-CAL |
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