Harris, Robert Boatwright

Harris, Robert Boatwright is an individual health care provider with primary practice located at 124 Commodore St Ste B , Pratt KS 67124-2995. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Harris, Robert Boatwright can be contacted via phone (620) 672-6454.

Contact Information

Primary practice address
124 Commodore St Ste B Pratt KS 67124-2995
Phone: (620) 672-6454
Fax: (620) 672-3488
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 00019179 Alabama
Allopathic & Osteopathic Physicians / Surgery 208600000X 04-43413 Kansas
Allopathic & Osteopathic Physicians / Surgery 208600000X 12574 Mississippi
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X 12574 Mississippi

Profile Details

NPI number 1215011846
LBN Legal business name Harris, Robert Boatwright
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Mar 26th, 2021 - about 5 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 1215011846 NPPES
Alabama MEDICAID 000033694
Alabama MEDICAID 00110609
Alabama Other 051033694

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