Harris, Joe M.

Harris, Joe M. is an individual health care provider with primary practice located at 708 W Forest Ave , Jackson TN 38301-3901. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Harris, Joe M. can be contacted via phone (731) 660-8759.

Contact Information

Primary practice address
708 W Forest Ave Jackson TN 38301-3901
Fax: (731) 660-8739
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD30282 Tennessee
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 30282 Tennessee

Profile Details

NPI number 1760461222
LBN Legal business name Harris, Joe M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Dec 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760461222 NPPES
Tennessee MEDICAID 3829943
Tennessee Other 4135243
Tennessee Other 3099877

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