Harris, Matthew R

Harris, Matthew R is an individual health care provider with primary practice located at 1272 W Main St Ste 503 , Newark OH 43055-2058. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Harris, Matthew R can be contacted via phone (220) 564-1778.

Contact Information

Primary practice address
1272 W Main St Ste 503 Newark OH 43055-2058
Fax: (220) 564-1779
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34.008347 Ohio

Profile Details

NPI number 1134105968
LBN Legal business name Harris, Matthew R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Feb 20th, 2017 - about 7 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 1134105968 NPPES
Ohio MEDICAID 0050491

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