Harris, Gerald Barnes

Harris, Gerald Barnes is an individual health care provider with primary practice located at 8914 N 91St Ave Ste 100A , Peoria AZ 85345-8390. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Harris, Gerald Barnes can be contacted via phone (623) 877-0100.

Contact Information

Primary practice address
8914 N 91St Ave Ste 100A Peoria AZ 85345-8390
Phone: (623) 877-0100
Fax: (623) 328-8713
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4027 Arizona
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 4027 Arizona

Profile Details

NPI number 1689676165
LBN Legal business name Harris, Gerald Barnes
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Mar 11th, 2022 - about 3 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 1689676165 NPPES
Other 1689676165 TYPE I NPI
Other 1750598108 TYPE I NPI
MEDICAID 961252 TYPE I NPI

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