Harrison, Richard Allen

Harrison, Richard Allen is an individual health care provider with primary practice located at 818 Congress St , Portland ME 04102-3112. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Harrison, Richard Allen can be contacted via phone (207) 773-8161.

Contact Information

Primary practice address
818 Congress St Portland ME 04102-3112
Phone: (207) 773-8161
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2123 Maine
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA02728 Texas
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA02728 Texas

Profile Details

NPI number 1790729143
LBN Legal business name Harrison, Richard Allen
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jan 4th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790729143 NPPES
Wisconsin Other 72200 MARSHFIELD CLININC MEDICARE IDENTIFICATION
Wisconsin Other 1952347981 MARSHFIELD CLININC MEDICARE IDENTIFICATION
Wisconsin Other PA02728 MARSHFIELD CLININC MEDICARE IDENTIFICATION

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