Provider Demographics
NPI:1891837506
Name:HARRIS CHIROPRACTIC CENTER INC
Entity Type:Organization
Organization Name:HARRIS CHIROPRACTIC CENTER INC
Other - Org Name:CENTRAL INDIANA CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELMER
Authorized Official - Middle Name:CURTIS
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:317-736-7088
Mailing Address - Street 1:1025 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:IN
Mailing Address - Zip Code:46131-1240
Mailing Address - Country:US
Mailing Address - Phone:317-736-7088
Mailing Address - Fax:317-736-8351
Practice Address - Street 1:1025 N MAIN ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:IN
Practice Address - Zip Code:46131-1240
Practice Address - Country:US
Practice Address - Phone:317-736-7088
Practice Address - Fax:317-736-8351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001207111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000180952OtherANTHEM BCBS - CENTRAL INDIANA CHIROPRACTIC
IN9231076OtherPCHS
IN000000073133OtherANTHEM BCBS HARRIS CHIROPRACTIC CENTER
IN083361OtherSIHO
IN200893480 AMedicaid
IN0004384774OtherAETNA
IN083361OtherSIHO