Harris, Michael Shane

Harris, Michael Shane is an individual health care provider with primary practice located at 3330 Masonic Dr , Alexandria LA 71301-3841. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Harris, Michael Shane can be contacted via phone (318) 449-2415.

Contact Information

Primary practice address
3330 Masonic Dr Alexandria LA 71301-3841
Phone: (318) 449-2415
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.200360 Louisiana

Profile Details

NPI number 1275847394
LBN Legal business name Harris, Michael Shane
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2010
Last updated Feb 8th, 2017 - 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 1275847394 NPPES
Louisiana MEDICAID 2353454

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