Harrison, John Bondurant

Harrison, John Bondurant is an sole proprietor health care provider with primary practice located at 213 Green Cove Rd Se , Huntsville AL 35803-3005. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Harrison, John Bondurant can be contacted via phone (256) 533-7751.

Contact Information

Primary practice address
213 Green Cove Rd Se Huntsville AL 35803-3005
Fax: (256) 533-7753
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 2715 Alabama

Profile Details

NPI number 1275540635
LBN Legal business name Harrison, John Bondurant
Credentials D.M.D.,M.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
Last updated Jul 8th, 2007 - about 19 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 1275540635 NPPES
Alabama Other 51093174 BLUE CROSS OF AL

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