DOROTHY HARRIS; NPI #1972660595

Contact Information

DOROTHY HARRIS

3073 W 28TH AVE
PINE BLUFF, AR 71603-4802

Phone: 870-534-8184
Fax: 870-534-8184
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for DOROTHY HARRIS

NPI Number 1972660595

LBN Legal business name DOROTHY HARRIS

Authorized official FAYE WEST - (MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/02/2007

Last updated 07/24/2008 - About 18 years ago

Identifiers

AR	License #	L8837
AR	Other	48776	BLUE CROSS BLUE SHIELD

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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DOROTHY HARRIS

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for DOROTHY HARRIS

Reviews for DOROTHY HARRIS