Provider Demographics
NPI:1881645927
Name:HARRINGTON, CYNTHIA JEAN (DC)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:JEAN
Last Name:HARRINGTON
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 1:815 PYLE DR
Mailing Address - Street 2:FAMILY CHIROPRACTIC CLINIC PC
Mailing Address - City:KINGSFORD
Mailing Address - State:MI
Mailing Address - Zip Code:49802-4454
Mailing Address - Country:US
Mailing Address - Phone:906-774-4911
Mailing Address - Fax:906-776-1778
Practice Address - Street 1:815 PYLE DR
Practice Address - Street 2:FAMILY CHIROPRACTIC CLINIC PC
Practice Address - City:KINGSFORD
Practice Address - State:MI
Practice Address - Zip Code:49802-4454
Practice Address - Country:US
Practice Address - Phone:906-774-4911
Practice Address - Fax:906-776-1778
Is Sole Proprietor?:No
Enumeration Date:2006-05-13
Last Update Date:2011-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301005030111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
0B25004Medicare PIN
MI350008141Medicare PIN
T32709Medicare ID - Type Unspecified
CH005030Medicare UPIN