Harris, Dayle
Harris, Dayle is an individual health care provider with primary practice located at 17738 E Creosote Ln , Gilbert AZ 85298-8995. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Harris, Dayle can be contacted via phone (623) 688-7362.Contact Information
Primary practice address
17738 E Creosote Ln
Gilbert AZ 85298-8995
Phone: (623) 688-7362
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F09181197 | Arizona |
Profile Details
| NPI number | 1497212948 |
|---|---|
| LBN Legal business name | Harris, Dayle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2019 |
| Last updated | Feb 20th, 2019 - about 7 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 | 1497212948 | NPPES |
| Arizona | MEDICAID | 221848 |
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