Pearson, Harold William
Pearson, Harold William is an sole proprietor health care provider with primary practice located at 1564 Kingsley Ave , Orange Park FL 32073-4511. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Pearson, Harold William can be contacted via phone (800) 636-1701.Contact Information
Primary practice address
1564 Kingsley Ave
Orange Park FL 32073-4511
Phone: (800) 636-1701
Fax: (866) 693-7090
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 15694R | Louisiana |
Profile Details
| NPI number | 1649231903 |
|---|---|
| LBN Legal business name | Pearson, Harold William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Jun 14th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649231903 | NPPES |
| Florida | Other | ME93259 | MEDICAL LICENSE |
| Florida | MEDICAID | 1463264 | MEDICAL LICENSE |
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