Provider Demographics
NPI:1679553002
Name:HARRINGTON, PHILIP J (DC)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:J
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 1:124 JACKSON STREET
Mailing Address - Street 2:PO BOX 421
Mailing Address - City:BROOKLYN
Mailing Address - State:IA
Mailing Address - Zip Code:52211-0421
Mailing Address - Country:US
Mailing Address - Phone:641-522-9220
Mailing Address - Fax:641-522-5022
Practice Address - Street 1:124 JACKSON STREET
Practice Address - Street 2:# 421
Practice Address - City:BROOKLYN
Practice Address - State:IA
Practice Address - Zip Code:52211-0421
Practice Address - Country:US
Practice Address - Phone:641-522-9220
Practice Address - Fax:641-522-5022
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA05963111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA56079Medicare UPIN
IAI0684Medicare ID - Type Unspecified