Harris, William
Harris, William is an sole proprietor health care provider with primary practice located at 104 Sterling Rd , Jacksonville NC 28546-8330. He recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is his primary health care specialty. Harris, William can be contacted via phone (910) 554-1355.Contact Information
Primary practice address
104 Sterling Rd
Jacksonville NC 28546-8330
Phone: (910) 554-1355
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | MHL-067-143 | North Carolina |
| Respite Care Facility / Respite Care | 385H00000X | MHL-067-143 | North Carolina |
Profile Details
| NPI number | 1083768816 |
|---|---|
| LBN Legal business name | Harris, William |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 22nd, 2007 |
| 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 | 1083768816 | NPPES |
| North Carolina | MEDICAID | 3409469 |
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