Provider Demographics
NPI:1851659361
Name:HARBISON, MICHAEL S (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:S
Last Name:HARBISON
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 1:2626 S RAINBOW BLVD STE 109
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-5190
Mailing Address - Country:US
Mailing Address - Phone:702-675-4500
Mailing Address - Fax:618-254-8476
Practice Address - Street 1:2626 S RAINBOW BLVD STE 109
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-5190
Practice Address - Country:US
Practice Address - Phone:702-675-4500
Practice Address - Fax:618-254-8476
Is Sole Proprietor?:No
Enumeration Date:2012-05-03
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.012178111N00000X, 111NI0013X
NVB.01967111NI0013X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVB.01967OtherNEVADA STATE LICENSE