Harris, Joe Tanner
Harris, Joe Tanner is an individual health care provider with primary practice located at 2888 S Lamar Blvd , Oxford MS 38655-5347. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Harris, Joe Tanner can be contacted via phone (662) 234-8286.Contact Information
Primary practice address
2888 S Lamar Blvd
Oxford MS 38655-5347
Phone: (662) 234-8286
Fax: (662) 234-6644
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 10280 | Mississippi |
Profile Details
| NPI number | 1639188303 |
|---|---|
| LBN Legal business name | Harris, Joe Tanner |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Nov 5th, 2021 - about 3 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 | 1639188303 | NPPES |
| Mississippi | MEDICAID | 00121627 |
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