Provider Demographics
NPI:1508310236
Name:HARWOOD CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:HARWOOD CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HARWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:785-764-2087
Mailing Address - Street 1:2345 EDWARD ST
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-6940
Mailing Address - Country:US
Mailing Address - Phone:785-764-2087
Mailing Address - Fax:
Practice Address - Street 1:3320 CLINTON PARKWAY CT
Practice Address - Street 2:STE 110
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66047-2629
Practice Address - Country:US
Practice Address - Phone:785-764-2087
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-10
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05743111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty