Harrison, Danny L

Harrison, Danny L is an sole proprietor health care provider with primary practice located at 1711 Destiny Ln Ste 120 , Bowling Green KY 42104-1066. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Harrison, Danny L can be contacted via phone (270) 846-1500.

Contact Information

Primary practice address
1711 Destiny Ln Ste 120 Bowling Green KY 42104-1066
Fax: (270) 846-1577
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 61892 Tennessee
Allopathic & Osteopathic Physicians / Surgery 208600000X 074380 Georgia
Allopathic & Osteopathic Physicians / Surgery 208600000X 23688 Kentucky

Profile Details

NPI number 1295885309
LBN Legal business name Harrison, Danny L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2007
Last updated Oct 19th, 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 1295885309 NPPES
Kentucky MEDICAID 64236888

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