Harris, Jeffrey D

Harris, Jeffrey D is an individual health care provider with primary practice located at 2531 S Big Bend Blvd Suite 1, Saint Louis MO 63143-2105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Harris, Jeffrey D can be contacted via phone (314) 647-7801.

Contact Information

Primary practice address
2531 S Big Bend Blvd Suite 1 Saint Louis MO 63143-2105
Phone: (314) 647-7801
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 36609 Missouri

Profile Details

NPI number 1922070812
LBN Legal business name Harris, Jeffrey D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Feb 4th, 2010 - about 14 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 1922070812 NPPES
Missouri MEDICAID 202549523

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