Provider Demographics
NPI:1922207737
Name:HARRIS, ARNOLD C (DC)
Entity Type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:C
Last Name:HARRIS
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 1:335 WOODALE DR
Mailing Address - Street 2:APT #3
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203-2824
Mailing Address - Country:US
Mailing Address - Phone:318-267-0076
Mailing Address - Fax:
Practice Address - Street 1:1510 S 2ND ST
Practice Address - Street 2:SUITE A
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71202-2742
Practice Address - Country:US
Practice Address - Phone:318-410-1210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-12
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1394111N00000X
MS1109111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor