Provider Demographics
NPI:1114788387
Name:HARSHBARGER, COLIN ALEXANDER (DC)
Entity Type:Individual
Prefix:DR
First Name:COLIN
Middle Name:ALEXANDER
Last Name:HARSHBARGER
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 1:1423 CAMPBELL AVE
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:OH
Mailing Address - Zip Code:43725-2930
Mailing Address - Country:US
Mailing Address - Phone:740-435-9555
Mailing Address - Fax:
Practice Address - Street 1:1423 CAMPBELL AVE
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:OH
Practice Address - Zip Code:43725-2930
Practice Address - Country:US
Practice Address - Phone:740-435-9555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH05331111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor