Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | CDEN02743 | RI |
NPI | 1073727095 |
---|---|
Provider Name | Dr. Scott Harsfield |
First Address | Warwick, RI 02888-5062 |
Second Address | Warwick, RI 02888-5062 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
139-741 | UNITED CONCORDIA (01) | RI |
41-00012 | UNITED HEALTHCARE (01) | RI |
8037-4 | BLUE CROSS (01) | RI |
RG0069 | BLUE CROSS OF MASS (01) | MA |
WB01101 | (05) | RI |