Harrison, David A

Harrison, David A is an individual health care provider with primary practice located at 14519 Detroit Ave , Lakewood OH 44107-4316. 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. Harrison, David A can be contacted via phone (216) 521-4200.

Contact Information

Primary practice address
14519 Detroit Ave Lakewood OH 44107-4316
Phone: (216) 521-4200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50-000558 Ohio

Profile Details

NPI number 1548250293
LBN Legal business name Harrison, David A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Jul 8th, 2007 - about 18 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 1548250293 NPPES
Ohio Other 000000363292 ANTHEM

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