Harrell, Priscilla Grace
Harrell, Priscilla Grace is an individual health care provider with primary practice located at 1500 Duarte Rd , Duarte CA 91010-3012. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Harrell, Priscilla Grace can be contacted via phone (626) 256-4673.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | 56516 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 56516 | Massachusetts |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | G176678 | California |
Profile Details
| NPI number | 1780767269 |
|---|---|
| LBN Legal business name | Harrell, Priscilla Grace |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2006 |
| Last updated | May 24th, 2022 - about 4 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 | 1780767269 | NPPES |
| Massachusetts | Other | 5825897001 | CIGNA |
| Massachusetts | Other | 2205188 | CIGNA |
| Massachusetts | Other | 0007050 | CIGNA |
| Massachusetts | MEDICAID | 3065472 | CIGNA |
| Massachusetts | Other | J10183 | CIGNA |
| Massachusetts | Other | 056516 | CIGNA |
| Massachusetts | Other | 996622 | CIGNA |
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