Provider Demographics
NPI:1558323998
Name:HARVEY, RICHARD STEWART (DC)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:STEWART
Last Name:HARVEY
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 1:7981 TAMARACK DR
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-1542
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2610 CROW CANYON RD
Practice Address - Street 2:STE.110
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-1768
Practice Address - Country:US
Practice Address - Phone:925-820-1202
Practice Address - Fax:925-820-1537
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11742111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0117420Medicare ID - Type Unspecified