Harris, Michael Thomas
Harris, Michael Thomas is an individual health care provider with primary practice located at 3422 S 15Th E , Idaho Falls ID 83404-8262. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Harris, Michael Thomas can be contacted via phone (208) 552-1222.Contact Information
Primary practice address
3422 S 15Th E
Idaho Falls ID 83404-8262
Phone: (208) 552-1222
Fax: (208) 552-3377
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M6846 | Idaho |
Profile Details
| NPI number | 1952579021 |
|---|---|
| LBN Legal business name | Harris, Michael Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 12th, 2008 |
| Last updated | Feb 12th, 2008 - about 17 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 | 1952579021 | NPPES |
| Other | DG0410 | RAILROAD MEDICARE |
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