Harris, Mildred
Harris, Mildred is an sole proprietor health care provider with primary practice located at 3326 Chapel Hill Blvd Bldg D, Durham NC 27707-6239. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Harris, Mildred can be contacted via phone (919) 806-0130.Contact Information
Primary practice address
3326 Chapel Hill Blvd Bldg D
Durham NC 27707-6239
Phone: (919) 806-0130
Fax: (919) 401-8091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C000605 | North Carolina |
Profile Details
| NPI number | 1023091832 |
|---|---|
| LBN Legal business name | Harris, Mildred |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 25th, 2005 |
| Last updated | Apr 18th, 2014 - about 12 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 | 1023091832 | NPPES |
| North Carolina | MEDICAID | 6002004 | |
| North Carolina | Other | 24200 |
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