Harris, Mariel Ann
Harris, Mariel Ann is an individual health care provider with primary practice located at One David N Myers Parkway , Beachwood OH 44122. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Harris, Mariel Ann can be contacted via phone (216) 910-2641.Contact Information
Primary practice address
One David N Myers Parkway
Beachwood OH 44122
Phone: (216) 910-2641
Fax: (216) 910-2777
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 33055569 | Ohio |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 35-055569 | Ohio |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 22992 | Connecticut |
Profile Details
| NPI number | 1588871875 |
|---|---|
| LBN Legal business name | Harris, Mariel Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2007 |
| Last updated | Jan 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588871875 | NPPES |
| Ohio | Other | 414975 | WELLCARE # |
| Ohio | Other | 4320316 | WELLCARE # |
| Ohio | MEDICAID | 0679663 | WELLCARE # |
| Ohio | Other | 751150 | WELLCARE # |
| Ohio | Other | P00432289 | WELLCARE # |
| Ohio | Other | 000000537785 | WELLCARE # |
| Ohio | Other | 000000225049 | WELLCARE # |
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