Harris, Keith Webb
Harris, Keith Webb is an sole proprietor health care provider with primary practice located at 1500 Route 112 Ste B , Port Jefferson Station NY 11776-8055. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Harris, Keith Webb can be contacted via phone (631) 978-7633.Contact Information
Primary practice address
1500 Route 112 Ste B
Port Jefferson Station NY 11776-8055
Phone: (631) 978-7633
Fax: (631) 621-4115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 236259-1 | New York |
Profile Details
| NPI number | 1114026853 |
|---|---|
| LBN Legal business name | Harris, Keith Webb |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Apr 29th, 2022 - about 2 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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