Haralson, Eric

Haralson, Eric is an individual health care provider with primary practice located at 270 W Lake Mead Pkwy , Henderson NV 89015-7093. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Haralson, Eric can be contacted via phone (702) 677-3720.

Contact Information

Primary practice address
270 W Lake Mead Pkwy Henderson NV 89015-7093
Phone: (702) 677-3720
Fax: (702) 677-3733
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA0321 Nevada

Profile Details

NPI number 1871961797
LBN Legal business name Haralson, Eric
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2015
Last updated Sep 5th, 2017 - about 9 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 1871961797 NPPES
Nevada MEDICAID 1871961797
Nevada Other P01700941

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