Provider Demographics
NPI:1932180577
Name:HARLOW, GEORGE D (DC)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:D
Last Name:HARLOW
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 1:501 PATRIOT RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:WHEELERSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45694-7819
Mailing Address - Country:US
Mailing Address - Phone:740-574-9545
Mailing Address - Fax:740-456-0187
Practice Address - Street 1:4342 GALLIA STREET
Practice Address - Street 2:SUITE B
Practice Address - City:NEW BOSTON
Practice Address - State:OH
Practice Address - Zip Code:45662
Practice Address - Country:US
Practice Address - Phone:740-456-0170
Practice Address - Fax:740-456-0187
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1508111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0824424Medicaid
OH0824424Medicaid
OHU19152Medicare UPIN