Harry, Eric L

Harry, Eric L is an individual health care provider with primary practice located at 1720 University Dr S , Fargo ND 58103-4940. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Harry, Eric L can be contacted via phone (701) 280-4140.

Contact Information

Primary practice address
1720 University Dr S Fargo ND 58103-4940
Phone: (701) 280-4140
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0577 South Dakota

Profile Details

NPI number 1861478745
LBN Legal business name Harry, Eric L
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Aug 6th, 2021 - 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 1861478745 NPPES
South Dakota Other 4992827 WELLMARK BC/BS OF SD
South Dakota MEDICAID 6827442 WELLMARK BC/BS OF SD
South Dakota Other D24201053195 WELLMARK BC/BS OF SD
South Dakota Other 9238612 WELLMARK BC/BS OF SD

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