Harris, Rodney
Harris, Rodney is an sole proprietor health care provider with primary practice located at 100 Emancipation Dr , Hampton VA 23667-0001. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot Surgery, Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Harris, Rodney can be contacted via phone (757) 606-0724.Contact Information
Primary practice address
100 Emancipation Dr
Hampton VA 23667-0001
Phone: (757) 606-0724
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | PO1000014 | District of Columbia |
| Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility | 313M00000X | PO1000014 | District of Columbia |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | PO1000014 | District of Columbia |
Profile Details
| NPI number | 1710958715 |
|---|---|
| LBN Legal business name | Harris, Rodney |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 28th, 2006 |
| Last updated | Dec 4th, 2020 - about 4 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 | 1710958715 | NPPES |
| District of Columbia | Other | 3724 | BLUECROSS / BLUESHIELD |
| District of Columbia | Other | 5412763 | BLUECROSS / BLUESHIELD |
| District of Columbia | MEDICAID | 037494400 | BLUECROSS / BLUESHIELD |
| District of Columbia | Other | 5268 | BLUECROSS / BLUESHIELD |
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