Individual
SEAN D HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
600 MARY ST, EVANSVILLE, IN 47710-1674
(812) 450-3405
(812) 450-3099
Mailing address
PO BOX 3407, EVANSVILLE, IN 47733-3407
(812) 450-3405
(812) 450-3099
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085003748
IL
363A00000X
Physician Assistant
Primary
10001243A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01197281
RR MEDICARE PTAN
IN
Enumeration date
07/14/2010
Last updated
06/15/2016
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