Provider Demographics
NPI:1689975773
Name:HARRISON CHIROPRACTIC P.C.
Entity Type:Organization
Organization Name:HARRISON CHIROPRACTIC P.C.
Other - Org Name:JOSHUA HARRISON P.C.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-349-5492
Mailing Address - Street 1:925 S NIAGARA ST STE 360
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-1681
Mailing Address - Country:US
Mailing Address - Phone:303-349-5492
Mailing Address - Fax:866-274-1128
Practice Address - Street 1:925 S NIAGARA ST STE 360
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-1681
Practice Address - Country:US
Practice Address - Phone:303-349-5492
Practice Address - Fax:866-274-1128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-05
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5142111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty