Provider Demographics
NPI:1952453433
Name:HARPOLD, MICHAEL CARTER (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:CARTER
Last Name:HARPOLD
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 1:1066 REAR NATIONAL HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:LAVALE
Mailing Address - State:MD
Mailing Address - Zip Code:21502
Mailing Address - Country:US
Mailing Address - Phone:301-729-9400
Mailing Address - Fax:301-729-9401
Practice Address - Street 1:1066 NATIONAL HWY
Practice Address - Street 2:REAR
Practice Address - City:LAVALE
Practice Address - State:MD
Practice Address - Zip Code:21502-7530
Practice Address - Country:US
Practice Address - Phone:301-729-9400
Practice Address - Fax:301-729-9401
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDU84221Medicare UPIN