Harris, Miriam Ida

Harris, Miriam Ida is an individual health care provider with primary practice located at 1245 S Main St , Willits CA 95490. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Harris, Miriam Ida can be contacted via phone (707) 459-6861.

Contact Information

Primary practice address
1245 S Main St Willits CA 95490
Phone: (707) 459-6861
Fax: (707) 459-3057
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A129594 California

Profile Details

NPI number 1033476452
LBN Legal business name Harris, Miriam Ida
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2012
Last updated Nov 29th, 2018 - 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.

Request for update

Popular Providers