Harris, Jevede D

Harris, Jevede D is an individual health care provider with primary practice located at 33 W Rahn Rd , Dayton OH 45429. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Harris, Jevede D can be contacted via phone (937) 433-8990.

Contact Information

Primary practice address
33 W Rahn Rd Dayton OH 45429
Fax: (937) 433-8691
Website:

Profile Details

NPI number 1154687127
LBN Legal business name Harris, Jevede D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2012
Last updated Aug 7th, 2018 - about 8 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 1154687127 NPPES
Ohio MEDICAID 0120357

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