Harris, Jeffrey Alan

Harris, Jeffrey Alan is an sole proprietor health care provider with primary practice located at 220 N Basil St , Baltimore OH 43105-1004. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Harris, Jeffrey Alan can be contacted via phone (740) 862-8381.

Contact Information

Primary practice address
220 N Basil St Baltimore OH 43105-1004
Phone: (740) 862-8381
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 967S Ohio

Profile Details

NPI number 1215058961
LBN Legal business name Harris, Jeffrey Alan
Credentials L.D.O
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2007
Last updated Jul 9th, 2007 - about 18 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 1215058961 NPPES
Ohio MEDICAID 0603421

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