Harris, Timothy Paul

Harris, Timothy Paul is an sole proprietor health care provider with primary practice located at 1301 W 12Th Ave Ste 301 , Emporia KS 66801-2590. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Harris, Timothy Paul can be contacted via phone (620) 343-2376.

Contact Information

Primary practice address
1301 W 12Th Ave Ste 301 Emporia KS 66801-2590
Phone: (620) 343-2376
Fax: (620) 342-0087
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0521008 Kansas

Profile Details

NPI number 1093775785
LBN Legal business name Harris, Timothy Paul
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2006
Last updated May 14th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093775785 NPPES
Other 020015054 RAILROAD MEDICARE
MEDICAID 100231930A RAILROAD MEDICARE

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