Harris, Michael W

Harris, Michael W is an individual health care provider with primary practice located at 425 Tioga Ave , Kingston PA 18704-5624. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Harris, Michael W can be contacted via phone (570) 288-6543.

Contact Information

Primary practice address
425 Tioga Ave Kingston PA 18704-5624
Phone: (570) 288-6543
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X MD022597E Pennsylvania

Profile Details

NPI number 1174590079
LBN Legal business name Harris, Michael W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Jul 8th, 2007 - about 18 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 1174590079 NPPES
Pennsylvania MEDICAID 0710598

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