Provider Demographics
NPI:1396965463
Name:HARERCHAN, NADER (DC CHIROPRACTOR)
Entity type:Individual
Prefix:MR
First Name:NADER
Middle Name:
Last Name:HARERCHAN
Suffix:
Gender:M
Credentials:DC CHIROPRACTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14034 POWAY RD
Mailing Address - Street 2:SUITE P
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064
Mailing Address - Country:US
Mailing Address - Phone:858-513-0094
Mailing Address - Fax:858-513-0096
Practice Address - Street 1:14034 POWAY RD
Practice Address - Street 2:SUITE P
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064
Practice Address - Country:US
Practice Address - Phone:858-513-0094
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC21350111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor