Provider Demographics
NPI:1891718524
Name:WHITE, HARMONY L (DC)
Entity Type:Individual
Prefix:DR
First Name:HARMONY
Middle Name:L
Last Name:WHITE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:HARMONY
Other - Middle Name:L
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1820 S BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-5146
Mailing Address - Country:US
Mailing Address - Phone:405-340-7667
Mailing Address - Fax:405-340-7337
Practice Address - Street 1:1820 S BOULEVARD
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-5146
Practice Address - Country:US
Practice Address - Phone:405-340-7667
Practice Address - Fax:405-340-7337
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3635111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK800522374Medicare ID - Type Unspecified