Harris, John David
Harris, John David is an individual health care provider with primary practice located at 2100 N Martin Luther King Blvd , Clovis NM 88101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Harris, John David can be contacted via phone (505) 769-7257.Contact Information
Primary practice address
2100 N Martin Luther King Blvd
Clovis NM 88101
Phone: (505) 769-7257
Fax: (505) 769-7243
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 8944 | New Mexico |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 2272A | Wyoming |
Profile Details
| NPI number | 1164414645 |
|---|---|
| LBN Legal business name | Harris, John David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164414645 | NPPES |
| New Mexico | MEDICAID | 16545 |
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