Harris, Andy Trent

Harris, Andy Trent is an sole proprietor health care provider with primary practice located at 607 S Church St , Smithfield VA 23430-1740. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Harris, Andy Trent can be contacted via phone (757) 357-5400.

Contact Information

Primary practice address
607 S Church St Smithfield VA 23430-1740
Fax: (757) 357-0657
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 0104000590 Virginia

Profile Details

NPI number 1770577215
LBN Legal business name Harris, Andy Trent
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2005
Last updated Dec 7th, 2007 - about 19 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 1770577215 NPPES
Virginia Other 057742 ANTHEM BLUE CROSS
Virginia Other 541502583 ANTHEM BLUE CROSS
Virginia Other 541502583 ANTHEM BLUE CROSS
Virginia Other 100353600 ANTHEM BLUE CROSS

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