Harris, Richard Wayne
Harris, Richard Wayne is an individual health care provider with primary practice located at 2380 W Horizon Ridge Pkwy Suite 110, Henderson NV 89052-5078. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Harris, Richard Wayne can be contacted via phone (702) 576-9608.Contact Information
Primary practice address
2380 W Horizon Ridge Pkwy Suite 110
Henderson NV 89052-5078
Phone: (702) 576-9608
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036.119357 | Illinois |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 4301093310 | Michigan |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 14479 | Nevada |
Profile Details
| NPI number | 1407053895 |
|---|---|
| LBN Legal business name | Harris, Richard Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2007 |
| Last updated | Apr 6th, 2015 - about 10 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 | 1407053895 | NPPES |
| Illinois | MEDICAID | 036119357 |
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