Harris, Todd J

Harris, Todd J is an individual health care provider with primary practice located at 12300 Mccracken Rd , Garfield Heights OH 44125-2914. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Harris, Todd J can be contacted via phone (216) 581-0500.

Contact Information

Primary practice address
12300 Mccracken Rd Garfield Heights OH 44125-2914
Phone: (216) 581-0500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50001481 Ohio

Profile Details

NPI number 1619004595
LBN Legal business name Harris, Todd J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Jul 27th, 2021 - about 3 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 1619004595 NPPES
Ohio MEDICAID 0093479

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