Harrison, Albert Wilson

Harrison, Albert Wilson is an individual health care provider with primary practice located at 485 S Dobson Rd Ste 115 , Chandler AZ 85224-5600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Harrison, Albert Wilson can be contacted via phone (480) 210-8620.

Contact Information

Primary practice address
485 S Dobson Rd Ste 115 Chandler AZ 85224-5600
Phone: (480) 210-8620
Fax: (480) 210-8622
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 59796 Arizona

Profile Details

NPI number 1306285465
LBN Legal business name Harrison, Albert Wilson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2013
Last updated Apr 23rd, 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 1306285465 NPPES
Arizona MEDICAID 003959

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