Harris, Roger Stanley
Harris, Roger Stanley is an sole proprietor health care provider with primary practice located at 39880 Van Dyke Ave Ste 202 , Sterling Heights MI 48313-4670. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Harris, Roger Stanley can be contacted via phone (586) 264-7930.Contact Information
Primary practice address
39880 Van Dyke Ave Ste 202
Sterling Heights MI 48313-4670
Phone: (586) 264-7930
Fax: (586) 264-7931
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5101007120 | Michigan |
Profile Details
| NPI number | 1730188269 |
|---|---|
| LBN Legal business name | Harris, Roger Stanley |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Apr 23rd, 2018 - about 6 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 | 1730188269 | NPPES |
| Michigan | MEDICAID | 1371362 | |
| Michigan | MEDICAID | 1371353 |
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