Provider Demographics
NPI:1669242293
Name:HARRIS CHIROPRACTIC LLC
Entity type:Organization
Organization Name:HARRIS CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRYANT
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:443-333-9876
Mailing Address - Street 1:2525 RIVA RD STE 145
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-7437
Mailing Address - Country:US
Mailing Address - Phone:443-333-9876
Mailing Address - Fax:443-433-0870
Practice Address - Street 1:2525 RIVA RD STE 145
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7437
Practice Address - Country:US
Practice Address - Phone:443-333-9876
Practice Address - Fax:443-433-0870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty