Harrison, Amy

Harrison, Amy is an individual health care provider with primary practice located at 2390 E Florida Ave Ste 104 , Hemet CA 92544-4711. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Harrison, Amy can be contacted via phone (951) 414-4011.

Contact Information

Primary practice address
2390 E Florida Ave Ste 104 Hemet CA 92544-4711
Phone: (951) 414-4011
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-103486 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G175785 California

Profile Details

NPI number 1962436782
LBN Legal business name Harrison, Amy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Sep 9th, 2022 - about 4 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 1962436782 NPPES
Illinois MEDICAID 036103486
Illinois MEDICAID G175785

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