Provider Demographics
NPI:1033211818
Name:BROWN, HARRY ERNEST (DC)
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:ERNEST
Last Name:BROWN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5538 OLIVE ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64130-3519
Mailing Address - Country:US
Mailing Address - Phone:816-363-7769
Mailing Address - Fax:816-363-7769
Practice Address - Street 1:5538 OLIVE ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64130-3519
Practice Address - Country:US
Practice Address - Phone:816-363-7769
Practice Address - Fax:816-363-7769
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO5599111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor