Harris, Joseph Robert

Harris, Joseph Robert is an sole proprietor health care provider with primary practice located at 100 Hillcrest Sq Ste J , Laurens SC 29360-2355. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Harris, Joseph Robert can be contacted via phone (864) 984-2518.

Contact Information

Primary practice address
100 Hillcrest Sq Ste J Laurens SC 29360-2355
Fax: (864) 984-6037
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 311 South Carolina

Profile Details

NPI number 1639413420
LBN Legal business name Harris, Joseph Robert
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2012
Last updated Nov 16th, 2012 - about 13 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 1639413420 NPPES
South Carolina MEDICAID WP9984

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