Harris, Jeffrey Earl
Harris, Jeffrey Earl is an individual health care provider with primary practice located at 1530 S Olive St , Los Angeles CA 90015-3023. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Harris, Jeffrey Earl can be contacted via phone (213) 747-5039.Contact Information
Primary practice address
1530 S Olive St
Los Angeles CA 90015-3023
Phone: (213) 747-5039
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 38219 | Massachusetts |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G156585 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD11997 | Rhode Island |
Profile Details
| NPI number | 1326038647 |
|---|---|
| LBN Legal business name | Harris, Jeffrey Earl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Mar 10th, 2021 - about 5 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 | 1326038647 | NPPES |
| Rhode Island | MEDICAID | 7058374 | |
| Rhode Island | Other | J31197 | |
| Rhode Island | MEDICAID | 0189561 | |
| Rhode Island | Other | 038219 |
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