Provider Demographics
NPI:1225055957
Name:HARMON FAMILY CHIROPRACTIC PC
Entity Type:Organization
Organization Name:HARMON FAMILY CHIROPRACTIC PC
Other - Org Name:HARMON FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TOBY
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:HARMON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:812-634-6363
Mailing Address - Street 1:2602 NEWTON ST
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:IN
Mailing Address - Zip Code:47546-1330
Mailing Address - Country:US
Mailing Address - Phone:812-634-6363
Mailing Address - Fax:812-634-7373
Practice Address - Street 1:2602 NEWTON ST
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:IN
Practice Address - Zip Code:47546-1330
Practice Address - Country:US
Practice Address - Phone:812-634-6363
Practice Address - Fax:812-634-7373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN51000295A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty