Garrett, Harry Timothy

Garrett, Harry Timothy is an individual health care provider with primary practice located at 100 S Main St , West Salem IL 62476-1202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Garrett, Harry Timothy can be contacted via phone (618) 456-3727.

Contact Information

Primary practice address
100 S Main St West Salem IL 62476-1202
Phone: (618) 456-3727
Fax: (618) 456-3774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036068484 Illinois

Profile Details

NPI number 1871589515
LBN Legal business name Garrett, Harry Timothy
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Jan 18th, 2016 - about 10 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 1871589515 NPPES
Illinois MEDICAID 036068484
Illinois Other 1316984594
Illinois Other 1215060298
Illinois Other 1669514956

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