Harris, Samuel R.

Harris, Samuel R. is an individual health care provider with primary practice located at 7 Medical Park Dr , Lexington NC 27292-6768. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Harris, Samuel R. can be contacted via phone (336) 243-2431.

Contact Information

Primary practice address
7 Medical Park Dr Lexington NC 27292-6768
Phone: (336) 243-2431
Fax: (336) 243-2359
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 15934 North Carolina

Profile Details

NPI number 1235115049
LBN Legal business name Harris, Samuel R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Feb 9th, 2012 - about 12 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 1235115049 NPPES
North Carolina Other 2180458 AETNA - HMO
North Carolina MEDICAID 8940008 AETNA - HMO
North Carolina Other 486 AETNA - HMO
North Carolina Other 160049975 AETNA - HMO
North Carolina Other 291926 AETNA - HMO
North Carolina Other 2140776001 AETNA - HMO
North Carolina Other 25042 AETNA - HMO
North Carolina Other 40008 AETNA - HMO
North Carolina Other 4098797 AETNA - HMO
North Carolina Other 0701183 AETNA - HMO
North Carolina Other 151097 AETNA - HMO

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