Harris, Theresa J
Harris, Theresa J is an individual health care provider with primary practice located at 1706 S Meridian Ste 130 , Puyallup WA 98371-7516. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Harris, Theresa J can be contacted via phone (253) 848-8797.Contact Information
Primary practice address
1706 S Meridian Ste 130
Puyallup WA 98371-7516
Phone: (253) 848-8797
Fax: (253) 845-1114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | AP30006868 | Washington |
Profile Details
| NPI number | 1922026178 |
|---|---|
| LBN Legal business name | Harris, Theresa J |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | May 26th, 2016 - about 8 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 | 1922026178 | NPPES |
| Montana | MEDICAID | 4307205 | |
| Montana | MEDICAID | 9647132 | |
| Montana | MEDICAID | 807332000 |
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