Provider Demographics
NPI:1689726739
Name:HARLAN INC
Entity Type:Organization
Organization Name:HARLAN INC
Other - Org Name:HARLAN CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:L
Authorized Official - Last Name:HARLAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:360-779-4900
Mailing Address - Street 1:PO BOX 802
Mailing Address - Street 2:
Mailing Address - City:POULSBO
Mailing Address - State:WA
Mailing Address - Zip Code:98370-0802
Mailing Address - Country:US
Mailing Address - Phone:360-779-4900
Mailing Address - Fax:360-779-4900
Practice Address - Street 1:17791 FJORD DR NE
Practice Address - Street 2:SUITE 203
Practice Address - City:POULSBO
Practice Address - State:WA
Practice Address - Zip Code:98370-8481
Practice Address - Country:US
Practice Address - Phone:360-779-4900
Practice Address - Fax:360-779-4900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2008-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1441111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty