Harrison, Michael Jeffrey

Harrison, Michael Jeffrey is an individual health care provider with primary practice located at 3801 Glenkerry Ct Ste 2 , Portage MI 49024-0711. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Harrison, Michael Jeffrey can be contacted via phone (269) 323-1527.

Contact Information

Primary practice address
3801 Glenkerry Ct Ste 2 Portage MI 49024-0711
Phone: (269) 323-1527
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X TEMPORARY Illinois
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 2901601232 Michigan

Profile Details

NPI number 1972006914
LBN Legal business name Harrison, Michael Jeffrey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2018
Last updated Oct 20th, 2022 - about 2 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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