Individual
DR. NICHOLAS HARPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 GORDON GUTMANN BLVD STE 101, JEFFERSONVILLE, IN 47130-3765
(812) 282-4844
(812) 282-6248
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 559-9337
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
010180717A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11018145A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300018052
—
IN
05
—
7100955700
—
KY
01
—
IN2570083
MEDICARE
IN
Enumeration date
05/19/2015
Last updated
04/04/2024
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