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Contact Information

DONALD D HARRIS, PA C
17978 SR 55
BAKER, WV26801
 Phone: 304-897-5915
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DONALD D HARRIS · (Male)

NPI Number 1962486738
Status Active
Credentials PA C
Entity Individual
Enumeration date 12/05/2005
Last updated 05/05/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 01128
  • WV Medicaid 3810003569
  • WV Other 001777408 MS BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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