Harrison, Jon

Harrison, Jon is an sole proprietor health care provider with primary practice located at 415 S 28Th Ave Fl 2 , Hattiesburg MS 39401-7246. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Harrison, Jon can be contacted via phone (601) 579-5010.

Contact Information

Primary practice address
415 S 28Th Ave Fl 2 Hattiesburg MS 39401-7246
Phone: (601) 579-5010
Fax: (601) 579-5240
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X T-2804 Mississippi
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 26654 Mississippi

Profile Details

NPI number 1407268386
LBN Legal business name Harrison, Jon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2014
Last updated Sep 1st, 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 1407268386 NPPES
Mississippi MEDICAID 06231763

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