Harris, Jonathan Lee

Harris, Jonathan Lee is an individual health care provider with primary practice located at 789 Central Ave , Dover NH 03820-2526. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Harris, Jonathan Lee can be contacted via phone (603) 742-5252.

Contact Information

Primary practice address
789 Central Ave Dover NH 03820-2526
Phone: (603) 742-5252
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0447722311 New Hampshire

Profile Details

NPI number 1821090754
LBN Legal business name Harris, Jonathan Lee
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Apr 24th, 2015 - about 11 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 1821090754 NPPES
New Hampshire MEDICAID 30342007

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