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:
Health care specialties
| Specialty | Code | License # | 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 4 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 | 1689676165 | NPPES |
| Other | 1689676165 | TYPE I NPI | |
| Other | 1750598108 | TYPE I NPI | |
| MEDICAID | 961252 | TYPE I NPI |
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