Harris, John G.
Harris, John G. is an individual health care provider with primary practice located at 431 W 8Th St , Jacksonville FL 32206-4332. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Harris, John G. can be contacted via phone (904) 355-1553.Contact Information
Primary practice address
431 W 8Th St
Jacksonville FL 32206-4332
Phone: (904) 355-1553
Fax: (904) 356-7774
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | PO 3181 | Florida |
Profile Details
| NPI number | 1922068238 |
|---|---|
| LBN Legal business name | Harris, John G. |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Mar 6th, 2013 - about 13 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 | 1922068238 | NPPES |
| Georgia | MEDICAID | 580964184A | |
| Georgia | MEDICAID | 3405826-00 |
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