Healthcare Provider Details

I. General information

NPI: 1770584575
Provider Name (Legal Business Name): ELMER CURTIS HARRIS DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2005
Last Update Date: 07/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 N MAIN ST
FRANKLIN IN
46131-1240
US

IV. Provider business mailing address

1025 N MAIN ST
FRANKLIN IN
46131-1240
US

V. Phone/Fax

Practice location:
  • Phone: 317-736-7088
  • Fax: 317-736-8351
Mailing address:
  • Phone: 317-736-7088
  • Fax: 317-736-8351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number08001207
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number08001207
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4046
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: