Harris, John G.

Harris, John G. is an individual health care provider with primary practice located at 431 W 8Th St , Jacksonville FL 32206-4332. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Harris, John G. can be contacted via phone (904) 355-1553.

Contact Information

Primary practice address
431 W 8Th St Jacksonville FL 32206-4332
Phone: (904) 355-1553
Fax: (904) 356-7774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO 3181 Florida

Profile Details

NPI number 1922068238
LBN Legal business name Harris, John G.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Mar 6th, 2013 - about 12 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 1922068238 NPPES
Georgia MEDICAID 580964184A
Georgia MEDICAID 3405826-00

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