Harris, Edgar Dejuan

Harris, Edgar Dejuan is an sole proprietor health care provider with primary practice located at 1721 Honeybrook Ln , Saint Louis MO 63138-1468. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Harris, Edgar Dejuan can be contacted via phone (314) 484-0405.

Contact Information

Primary practice address
1721 Honeybrook Ln Saint Louis MO 63138-1468
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X 0000000000000 Missouri

Profile Details

NPI number 1821417916
LBN Legal business name Harris, Edgar Dejuan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2014
Last updated Apr 16th, 2014 - about 12 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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