Harris, Jerry L.

Harris, Jerry L. is an individual health care provider with primary practice located at 1899 Eider Ct , Tallahassee FL 32308-4537. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Harris, Jerry L. can be contacted via phone (850) 878-5143.

Contact Information

Primary practice address
1899 Eider Ct Tallahassee FL 32308-4537
Fax: (850) 942-6622
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X ME22775 Florida

Profile Details

NPI number 1265402044
LBN Legal business name Harris, Jerry L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jan 17th, 2008 - about 18 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 1265402044 NPPES
Florida Other 221572315 RAILROAD MEDICARE
Florida Other ME22775 RAILROAD MEDICARE
Florida MEDICAID 0370282 RAILROAD MEDICARE
Florida Other 37210 RAILROAD MEDICARE

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