Harris, Gerald Edwin

Harris, Gerald Edwin is an individual health care provider with primary practice located at 595 Buckingham Way Suite 430, San Francisco CA 94132-1909. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Harris, Gerald Edwin can be contacted via phone (415) 242-5433.

Contact Information

Primary practice address
595 Buckingham Way Suite 430 San Francisco CA 94132-1909
Phone: (415) 242-5433
Fax: (415) 242-8904
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G12151 California

Profile Details

NPI number 1730176983
LBN Legal business name Harris, Gerald Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Sep 22nd, 2009 - about 17 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 1730176983 NPPES
California Other GR0088860 MEDI-CAL

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