Harris, Michael

Harris, Michael is an individual health care provider with primary practice located at 200 Health Care Dr , Greenville IL 62246-1154. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Harris, Michael can be contacted via phone (618) 664-1230.

Contact Information

Primary practice address
200 Health Care Dr Greenville IL 62246-1154
Phone: (618) 664-1230
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036073471 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036073471 Illinois

Profile Details

NPI number 1083716476
LBN Legal business name Harris, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2006
Last updated May 10th, 2019 - about 5 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 1083716476 NPPES
Illinois MEDICAID 036073471
Illinois Other 0031603775

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