Harris, Timothy W
Harris, Timothy W is an sole proprietor health care provider with primary practice located at 238 E Broadway , Salem NJ 08079-1108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Harris, Timothy W can be contacted via phone (856) 935-7711.Contact Information
Primary practice address
238 E Broadway
Salem NJ 08079-1108
Phone: (856) 935-7711
Fax: (856) 935-9123
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25MB06944700 | New Jersey |
Profile Details
| NPI number | 1447364294 |
|---|---|
| LBN Legal business name | Harris, Timothy W |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1447364294 | NPPES |
| New Jersey | MEDICAID | 8066906 |
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