Harris, William Keith

Harris, William Keith is an individual health care provider with primary practice located at 7275 S Siwell Rd , Jackson MS 39272-9776. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Harris, William Keith can be contacted via phone (601) 373-7722.

Contact Information

Primary practice address
7275 S Siwell Rd Jackson MS 39272-9776
Phone: (601) 373-7722
Fax: (601) 373-7378
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 14932 Mississippi

Profile Details

NPI number 1902874571
LBN Legal business name Harris, William Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Mar 12th, 2018 - about 7 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 1902874571 NPPES
Mississippi Other 5706626 AETNA
Mississippi MEDICAID 00119606 AETNA

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