Provider Demographics
NPI:1689794877
Name:HARROD, SHEILA (DC)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:HARROD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6501 BRIGHT AVENUE
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601-4504
Mailing Address - Country:US
Mailing Address - Phone:562-693-7776
Mailing Address - Fax:562-693-7794
Practice Address - Street 1:6501 BRIGHT AVENUE
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90601-4504
Practice Address - Country:US
Practice Address - Phone:562-693-7776
Practice Address - Fax:562-693-7794
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC22702111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC22702Medicare ID - Type Unspecified