Provider Demographics
NPI:1144395245
Name:DORSEY, HARRY L (DC)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:L
Last Name:DORSEY
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:PO BOX 4782
Mailing Address - Street 2:1655 E UNION STREET
Mailing Address - City:GREENVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38704
Mailing Address - Country:US
Mailing Address - Phone:662-335-3040
Mailing Address - Fax:662-335-3043
Practice Address - Street 1:1655 E UNION STREET
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:MS
Practice Address - Zip Code:38704-4782
Practice Address - Country:US
Practice Address - Phone:662-335-3040
Practice Address - Fax:662-335-3043
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS062111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor