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NPI Code Detail

MEDICARE: HARRISON CHIROPRACTIC CENTER PC

MEDICARE: HARRISON CHIROPRACTIC CENTER PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorMI

General Provider Information

NPI Number : 1568556330
Entity Type Code : Organization
Provider Name (Legal Business Name) : HARRISON CHIROPRACTIC CENTER PC
Provider Business Mailing Address
First Line : 2870 EAST BELTLINE AVE NE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49525-9704
Country : US
Telephone Number : 616-363-0902
Fax Number : 616-363-9730
Provider Business Practice Location Address
First Line : 2870 EAST BELTLINE AVE NE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49525-9704
Country : US
Telephone Number : 616-363-0902
Fax Number : 616-363-9730
Authorized Official
Title or Position : OWNER
Name : DR. DAVID K HARRISON
Credential : DC
Telephone Number : 616-363-0902
Provider Enumeration Date : 10/03/2006
Last Update Date : 09/29/2008

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Directions to “HARRISON CHIROPRACTIC CENTER PC ” Practice Location

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