Provider Demographics
NPI:1659499226
Name:HARRINGTON, JOHN T (DC)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:T
Last Name:HARRINGTON
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 1:2900 SONOMA BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94590-3810
Mailing Address - Country:US
Mailing Address - Phone:707-553-2225
Mailing Address - Fax:707-648-2501
Practice Address - Street 1:2900 SONOMA BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94590-3810
Practice Address - Country:US
Practice Address - Phone:707-553-2225
Practice Address - Fax:707-648-2501
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 18230111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC 0182300Medicare ID - Type Unspecified