Provider Demographics
NPI:1801326756
Name:HARRIS, JAMES L (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:L
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 1:1340 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:MI
Mailing Address - Zip Code:49120-3650
Mailing Address - Country:US
Mailing Address - Phone:269-683-6000
Mailing Address - Fax:269-683-6350
Practice Address - Street 1:1340 E MAIN ST
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:MI
Practice Address - Zip Code:49120-3650
Practice Address - Country:US
Practice Address - Phone:269-683-6000
Practice Address - Fax:269-683-6350
Is Sole Proprietor?:No
Enumeration Date:2017-06-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301010544111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor