Provider Demographics
NPI:1043317670
Name:MEYER, HARRIS (DC)
Entity Type:Individual
Prefix:
First Name:HARRIS
Middle Name:
Last Name:MEYER
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 1:5354 CLAYTON RD STE A
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94521-3257
Mailing Address - Country:US
Mailing Address - Phone:925-320-3472
Mailing Address - Fax:415-680-3229
Practice Address - Street 1:5354 CLAYTON RD STE A
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94521-3257
Practice Address - Country:US
Practice Address - Phone:925-320-3472
Practice Address - Fax:925-226-1373
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-17
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC0239110111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0239110Medicare PIN