Harris, Jeffrey L

Harris, Jeffrey L is an individual health care provider with primary practice located at 325 Warner Dr , Lewiston ID 83501-4437. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Harris, Jeffrey L can be contacted via phone (208) 798-8500.

Contact Information

Primary practice address
325 Warner Dr Lewiston ID 83501-4437
Phone: (208) 798-8500
Fax: (208) 798-8530
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00034232 Washington
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M-9259 Idaho

Profile Details

NPI number 1942232285
LBN Legal business name Harris, Jeffrey L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Nov 5th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942232285 NPPES
Idaho MEDICAID 806974300
Idaho MEDICAID 8289035

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