Harris, Tina M

Harris, Tina M is an individual health care provider with primary practice located at 270 N Franklin Ave , Colby KS 67701-2322. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Harris, Tina M can be contacted via phone (785) 462-8008.

Contact Information

Primary practice address
270 N Franklin Ave Colby KS 67701-2322
Fax: (785) 460-8080
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 11-2054 Kansas

Profile Details

NPI number 1851332316
LBN Legal business name Harris, Tina M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jun 16th, 2009 - about 16 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 1851332316 NPPES
Other 059714 BLUE CROSS BLUE SHIELD
Other 650005073 BLUE CROSS BLUE SHIELD
MEDICAID 100319310A BLUE CROSS BLUE SHIELD

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