Harris, Steven Wayne
Harris, Steven Wayne is an individual health care provider with primary practice located at 3917 West Road #250 , Los Alamos NM 87544-5302. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Harris, Steven Wayne can be contacted via phone (505) 661-4147.Contact Information
Primary practice address
3917 West Road #250
Los Alamos NM 87544-5302
Phone: (505) 661-4147
Fax: (505) 661-4199
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 53426961206 | Utah |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA2011-0036 | New Mexico |
Profile Details
| NPI number | 1922066455 |
|---|---|
| LBN Legal business name | Harris, Steven Wayne |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Jul 14th, 2020 - about 6 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 | 1922066455 | NPPES |
| Utah | MEDICAID | 870281028000 | |
| Utah | Other | P00084336 |
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