Harrison, David W
Harrison, David W is an sole proprietor health care provider with primary practice located at 1900 Electric Rd , Salem VA 24153-7474. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Harrison, David W can be contacted via phone (540) 776-4449.Contact Information
Primary practice address
1900 Electric Rd
Salem VA 24153-7474
Phone: (540) 776-4449
Fax: (540) 345-6795
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 0810001479 | Virginia |
Profile Details
| NPI number | 1295899805 |
|---|---|
| LBN Legal business name | Harrison, David W |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Oct 1st, 2010 - about 14 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 | 1295899805 | NPPES |
| Virginia | MEDICAID | 007754116 |
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