Harris, Mark
Harris, Mark is an individual health care provider with primary practice located at 3701 Lansdowne Dr , Ashland KY 41102. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Harris, Mark can be contacted via phone (606) 324-3005.Contact Information
Primary practice address
3701 Lansdowne Dr
Ashland KY 41102
Phone: (606) 324-3005
Fax: (606) 329-1530
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1922145564 |
|---|---|
| LBN Legal business name | Harris, Mark |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1922145564 | NPPES |
| Kentucky | MEDICAID | 30610026 |
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