Provider Demographics
NPI:1952724981
Name:ADAM HARCOURT CHIROPRACTIC PC
Entity Type:Organization
Organization Name:ADAM HARCOURT CHIROPRACTIC PC
Other - Org Name:IMAGINE X
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HARCOURT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:805-962-1988
Mailing Address - Street 1:1221 STATE ST
Mailing Address - Street 2:204
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-2648
Mailing Address - Country:US
Mailing Address - Phone:805-962-1988
Mailing Address - Fax:805-962-1989
Practice Address - Street 1:1221 STATE ST
Practice Address - Street 2:204
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2648
Practice Address - Country:US
Practice Address - Phone:805-962-1988
Practice Address - Fax:805-962-1989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-27
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32761111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Single Specialty