Provider Demographics
NPI:1689716474
Name:MICHAEL J HARPHAM
Entity Type:Organization
Organization Name:MICHAEL J HARPHAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:HARPHAM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:989-686-6808
Mailing Address - Street 1:1210 SALZBURG AVE
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706-3443
Mailing Address - Country:US
Mailing Address - Phone:989-686-6808
Mailing Address - Fax:989-686-8303
Practice Address - Street 1:1210 SALZBURG AVE
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-3443
Practice Address - Country:US
Practice Address - Phone:989-686-6808
Practice Address - Fax:989-686-8303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI950Z900990OtherBCBSM
MION96830Medicare ID - Type Unspecified