Pearson, Harold William

Pearson, Harold William is an sole proprietor health care provider with primary practice located at 1564 Kingsley Ave , Orange Park FL 32073-4511. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Pearson, Harold William can be contacted via phone (800) 636-1701.

Contact Information

Primary practice address
1564 Kingsley Ave Orange Park FL 32073-4511
Phone: (800) 636-1701
Fax: (866) 693-7090
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 15694R Louisiana

Profile Details

NPI number 1649231903
LBN Legal business name Pearson, Harold William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2006
Last updated Jun 14th, 2013 - about 12 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 1649231903 NPPES
Florida Other ME93259 MEDICAL LICENSE
Florida MEDICAID 1463264 MEDICAL LICENSE

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