Harris, Mark Steven

Harris, Mark Steven is an individual health care provider with primary practice located at 1123 South Rd , Bradford VT 05033-8803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Harris, Mark Steven can be contacted via phone (802) 272-2674.

Contact Information

Primary practice address
1123 South Rd Bradford VT 05033-8803
Phone: (802) 272-2674
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 006039 Vermont

Profile Details

NPI number 1386718500
LBN Legal business name Harris, Mark Steven
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Sep 9th, 2019 - about 6 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 1386718500 NPPES
Vermont MEDICAID 0004689
Vermont MEDICAID 99004689
Vermont Other 030367834

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