Provider Demographics
NPI:1770584575
Name:HARRIS, ELMER CURTIS (DC)
Entity type:Individual
Prefix:DR
First Name:ELMER
Middle Name:CURTIS
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 1:1025 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
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-03
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001207111NS0005X, 111N00000X
KY4046111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100436610BMedicaid
IN0004384774OtherAETNA
IN9231076OtherPHCS
IN000000181839OtherANTHEM BCBS THRU HARRIS CHIROPRACTIC CENTER
IN083361OtherSIHO
IN000000180950OtherANTHEM BCBS THRU CENTRAL INDIANA CHIROPRACTIC
IN100436610Medicaid
IN100436610Medicaid
IN596980AMedicare PIN