Clinton J Harris, Md, Plc

LBN: Clinton J Harris, Md, Plc
Clinton J Harris, Md, Plc is an health care organization with primary practice located at 3600 E Fulton St , Grand Rapids MI 49546-1322. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty. Clinton J Harris, Md, Plc can be contacted via phone (616) 949-4971, or through Harris, Clinton Jacob via phone (616) 949-4971.

Contact Information

Primary practice address
3600 E Fulton St Grand Rapids MI 49546-1322
Phone: (616) 949-4971
Fax: (616) 248-3530
Website:
Map and Directions
Authorized official contact:
Name: Harris, Clinton Jacob Doctor of Medicine (MD)
Phone: (616) 949-4971

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X

Profile Details

NPI number 1477521094
LBN Legal business name Clinton J Harris, Md, Plc
DBA Doing business as
Authorized official Harris, Clinton Jacob Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2006
Last updated Sep 19th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477521094 NPPES
Other DA2804 RAILROAD MEDICARE
Other 500D116030 RAILROAD MEDICARE

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