MEDICARE: MICHAEL SCOTT HARKER 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	2108	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000364431	OTHER	OH	ANTHEM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	4490200	OTHER	OH	UNITED HEALTHCARE

General Provider Information

NPI Number	:	1952314361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL SCOTT HARKER D.C.

Provider Business Mailing Address
First Line	:	4770 WILMINGTON PIKE
Second Line	:
City	:	KETTERING
State	:	OH
Zip	:	45440-2021
Country	:	US
Telephone Number	:	937-433-5154
Fax Number	:	937-433-2884

Provider Business Practice Location Address
First Line	:	4770 WILMINGTON PIKE
Second Line	:
City	:	KETTERING
State	:	OH
Zip	:	45440-2021
Country	:	US
Telephone Number	:	937-433-5154
Fax Number	:	937-433-2884

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

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	11/15/2007

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