Harris, Ronald M

Harris, Ronald M is an individual health care provider with primary practice located at 50 N Medical Dr , Salt Lake City UT 84132-1100. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatopathology is his primary health care specialty. Harris, Ronald M can be contacted via phone (801) 581-2955.

Contact Information

Primary practice address
50 N Medical Dr Salt Lake City UT 84132-1100
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 3184291205 Utah
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 3184291205 Utah
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 3184291205 Utah

Profile Details

NPI number 1215033501
LBN Legal business name Harris, Ronald M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Sep 12th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215033501 NPPES
Idaho MEDICAID 004136100
Idaho MEDICAID 002085554
Idaho MEDICAID 723503
Idaho MEDICAID 0048438
Idaho MEDICAID 870468377001

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