Provider Demographics
NPI:1639613961
Name:HARRIS, JAMES (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:HARRIS
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 1:11431 BUSINESS BLVD STE 601
Mailing Address - Street 2:
Mailing Address - City:EAGLE RIVER
Mailing Address - State:AK
Mailing Address - Zip Code:99577-7738
Mailing Address - Country:US
Mailing Address - Phone:907-694-7700
Mailing Address - Fax:907-694-7010
Practice Address - Street 1:11431 BUSINESS BLVD STE 601
Practice Address - Street 2:
Practice Address - City:EAGLE RIVER
Practice Address - State:AK
Practice Address - Zip Code:99577-7738
Practice Address - Country:US
Practice Address - Phone:907-694-7700
Practice Address - Fax:907-694-7010
Is Sole Proprietor?:No
Enumeration Date:2016-12-06
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557374111N00000X
FLCH12196111N00000X
AK148991111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor