Harrison, Tina L

Harrison, Tina L is an individual health care provider with primary practice located at 9669 E. 146Th Street Suite 200, Noblesville IN 46060-5004. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Harrison, Tina L can be contacted via phone (317) 621-6300.

Contact Information

Primary practice address
9669 E. 146Th Street Suite 200 Noblesville IN 46060-5004
Phone: (317) 621-6300
Fax: (317) 621-6310
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01051078A Indiana

Profile Details

NPI number 1285642629
LBN Legal business name Harrison, Tina L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Nov 27th, 2023 - about 3 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 1285642629 NPPES
Indiana MEDICAID 200307830
Indiana Other 000000312975
Indiana Other P00138522

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