Harris, Diane Elise
Harris, Diane Elise is an individual health care provider with primary practice located at 4815 Oleander Dr , Wilmington NC 28403-5108. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Harris, Diane Elise can be contacted via phone (910) 452-1111.Contact Information
Primary practice address
4815 Oleander Dr
Wilmington NC 28403-5108
Phone: (910) 452-1111
Fax: (910) 452-5897
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 66500 | Georgia |
Profile Details
| NPI number | 1396740940 |
|---|---|
| LBN Legal business name | Harris, Diane Elise |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2005 |
| Last updated | Apr 12th, 2012 - about 14 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 | 1396740940 | NPPES |
| North Carolina | Other | 1396740940 | NPI |
| North Carolina | MEDICAID | 8939690 | NPI |
| North Carolina | Other | 0106F | NPI |
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