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
Phone: (937) 433-8990
Fax: (937) 433-8691
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35125500 | Ohio |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154687127 | NPPES |
| Ohio | MEDICAID | 0120357 |
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