Provider Demographics
NPI:1003986282
Name:HARLOW, CHANTEL SPRING (DC)
Entity Type:Individual
Prefix:DR
First Name:CHANTEL
Middle Name:SPRING
Last Name:HARLOW
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3475 SPRING HILL AVE
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-1522
Mailing Address - Country:US
Mailing Address - Phone:251-343-4242
Mailing Address - Fax:251-343-4242
Practice Address - Street 1:3475 SPRING HILL AVE
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-1522
Practice Address - Country:US
Practice Address - Phone:251-343-4242
Practice Address - Fax:251-343-4242
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1964111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALU84352Medicare UPIN
AL051550478Medicare ID - Type Unspecified