Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | 006.0083894 | VT |
N | 111NN1001X | Nutrition | 038---007054 | IL |
NPI | 1194738625 |
---|---|
Provider Name | Dr. Don Eric Harris |
First Address | Newport, VT 05855-4509 |
Second Address | Newport, VT 05855-4509 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2006 |
Last Update Date | 15/08/2016 |