Harris, Leonard Russell

Harris, Leonard Russell is an individual health care provider with primary practice located at 275 Grass Valley Hwy , Auburn CA 95603-4533. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Harris, Leonard Russell can be contacted via phone (530) 885-0344.

Contact Information

Primary practice address
275 Grass Valley Hwy Auburn CA 95603-4533
Phone: (530) 885-0344
Fax: (530) 885-8967
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA16521 California

Profile Details

NPI number 1871535989
LBN Legal business name Harris, Leonard Russell
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jul 27th, 2015 - about 10 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 1871535989 NPPES
California MEDICAID 0PA165210

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