Harris, Neely Taylor Rose
Harris, Neely Taylor Rose is an individual health care provider with primary practice located at 1005 Health Center Dr Ste 100 , Mattoon IL 61938-4637. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Harris, Neely Taylor Rose can be contacted via phone (217) 258-4006.Contact Information
Primary practice address
1005 Health Center Dr Ste 100
Mattoon IL 61938-4637
Phone: (217) 258-4006
Fax: (217) 258-4120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2020018778 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036-166678 | Illinois |
Profile Details
| NPI number | 1962029579 |
|---|---|
| LBN Legal business name | Harris, Neely Taylor Rose |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2020 |
| Last updated | Oct 30th, 2023 - about 3 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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