Provider Demographics
NPI:1508106360
Name:HARRIS INTEGRATIVE HEALTH & NUTRITION PC
Entity Type:Organization
Organization Name:HARRIS INTEGRATIVE HEALTH & NUTRITION PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DON
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:800-255-1148
Mailing Address - Street 1:129 S CRAFTSBURY RD
Mailing Address - Street 2:
Mailing Address - City:CRAFTSBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05826-9026
Mailing Address - Country:US
Mailing Address - Phone:800-255-1148
Mailing Address - Fax:800-255-1033
Practice Address - Street 1:129 S CRAFTSBURY RD
Practice Address - Street 2:
Practice Address - City:CRAFTSBURY
Practice Address - State:VT
Practice Address - Zip Code:05826-9026
Practice Address - Country:US
Practice Address - Phone:800-255-1148
Practice Address - Fax:800-255-1033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-15
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT006.0083894261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty