Individual
MR. MICK EMERSON HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC, NREMT
Contact information
Practice address
188 S DONAHUE DRIVE, 121 NICHOLS CENTER, AUBURN, AL 36849-5513
(316) 650-2360
Mailing address
306 E MAGNOLIA AVE APT 119, AUBURN, AL 36830-4831
(316) 650-2360
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
0155-0083-2810
—
2255A2300X
Athletic Trainer
Primary
2643
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0155-0083-2810
NATIONAL REGISTRY OF EMERGENCY MEDICAL TECHNICIANS
—
01
—
2000051386
ATHLETIC TRAINING BOARD OF CERTIFICATION
—
01
—
2643
ALABAMA BOARD OF ATHLETIC TRAINING
AL
Enumeration date
11/03/2020
Last updated
12/04/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us