Individual
MR. JEFFREY ALAN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.D.O
Contact information
Practice address
220 N BASIL ST, BALTIMORE, OH 43105-1004
(740) 862-8381
Mailing address
220 N BASIL ST, BALTIMORE, OH 43105-1004
(740) 862-8381
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
967S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0603421
—
OH
Enumeration date
04/02/2007
Last updated
07/09/2007
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