Harris, Sally L
Harris, Sally L is an sole proprietor health care provider with primary practice located at 4600 Jefferson Ln Ne Suite D, Albuquerque NM 87109-2134. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Harris, Sally L can be contacted via phone (505) 884-4406.Contact Information
Primary practice address
4600 Jefferson Ln Ne Suite D
Albuquerque NM 87109-2134
Phone: (505) 884-4406
Fax: (505) 884-1671
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 98284 | New Mexico |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 98-284 | New Mexico |
Profile Details
| NPI number | 1598788697 |
|---|---|
| LBN Legal business name | Harris, Sally L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Jul 1st, 2022 - about 3 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 | 1598788697 | NPPES |
| New Mexico | MEDICAID | Z3855 |
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