Harrison, John Charles

Harrison, John Charles is an individual health care provider with primary practice located at 9848 N Tryon St , Charlotte NC 28262-5512. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Harrison, John Charles can be contacted via phone (704) 323-2000.

Contact Information

Primary practice address
9848 N Tryon St Charlotte NC 28262-5512
Phone: (704) 323-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 21412 North Carolina

Profile Details

NPI number 1184617151
LBN Legal business name Harrison, John Charles
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Aug 30th, 2010 - about 16 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 1184617151 NPPES
North Carolina MEDICAID 89015XT

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