MEDICARE: DR. MICHAEL S HARBISON D.C.

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
1	111N00000X	Chiropractor	B.01967	NV
2	111N00000X	Chiropractor	038.012178	IL
3	111NI0013X	Independent Medical Examiner Chiropractor	038.012178	IL
4	111NI0013X	Independent Medical Examiner Chiropractor	B.01967	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	B.01967	OTHER	NV	NEVADA STATE LICENSE

General Provider Information

NPI Number	:	1851659361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL S HARBISON D.C.

Provider Business Mailing Address
First Line	:	2626 S RAINBOW BLVD STE 109
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-5190
Country	:	US
Telephone Number	:	702-675-4500
Fax Number	:	618-254-8476

Provider Business Practice Location Address
First Line	:	2626 S RAINBOW BLVD STE 109
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-5190
Country	:	US
Telephone Number	:	702-675-4500
Fax Number	:	702-675-4501

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2012
Last Update Date	:	08/07/2025

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