Provider Demographics
NPI:1093760100
Name:HARPOLD, ANDREA HOLMES (DC)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:HOLMES
Last Name:HARPOLD
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 1:16119 MCMULLEN HWY SW
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-6207
Mailing Address - Country:US
Mailing Address - Phone:301-729-9355
Mailing Address - Fax:301-729-2739
Practice Address - Street 1:16117 MCMULLEN HWY SW
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-6207
Practice Address - Country:US
Practice Address - Phone:301-729-9355
Practice Address - Fax:301-729-2739
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2027111N00000X
PADC008831111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor