Harris, Stephen L

Harris, Stephen L is an individual health care provider with primary practice located at 116 Mcclellan Rd , Philippi WV 26416-8076. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Harris, Stephen L can be contacted via phone (304) 457-2800.

Contact Information

Primary practice address
116 Mcclellan Rd Philippi WV 26416-8076
Phone: (304) 457-2800
Fax: (304) 457-4011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 891 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 891 West Virginia

Profile Details

NPI number 1821195637
LBN Legal business name Harris, Stephen L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Oct 31st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821195637 NPPES
West Virginia MEDICAID 0043142000

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