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Individual
MICHAEL JACK HARMON
Active
Individual
MICHAEL JACK HARMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7415
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079VY
BCBS
NC
01
—
11531693
CAQH
NC
01
—
562105904
CIGNA
NC
01
—
694617
UNITED HEALTH CARE
NC
01
—
7880751
AETNA
NC
01
—
806917
PARTNERS
NC
01
—
9409737
PHCS
NC
05
—
P00289576
—
NC
Enumeration date
05/04/2006
Last updated
05/16/2014
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