Harrison, Theodore

Harrison, Theodore is an individual health care provider with primary practice located at 3020 Silver Charm Cir , Suffolk VA 23435-3343. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Harrison, Theodore can be contacted via phone (757) 375-5017.

Contact Information

Primary practice address
3020 Silver Charm Cir Suffolk VA 23435-3343
Phone: (757) 375-5017
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1972791218
LBN Legal business name Harrison, Theodore
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2007
Last updated Oct 11th, 2007 - about 17 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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