Harrison, Mark E

Harrison, Mark E is an individual health care provider with primary practice located at 620 N Carriage Pkwy , Wichita KS 67208-4501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Harrison, Mark E can be contacted via phone (316) 962-3100.

Contact Information

Primary practice address
620 N Carriage Pkwy Wichita KS 67208-4501
Phone: (316) 962-3100
Fax: (316) 962-3192
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0429569 Kansas

Profile Details

NPI number 1073587176
LBN Legal business name Harrison, Mark E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Jan 27th, 2022 - 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 1073587176 NPPES
Kansas Other 102992 BCBS
Kansas MEDICAID 100456510A BCBS

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