Healthcare Provider Details

I. General information

NPI: 1487592432
Provider Name (Legal Business Name): THOMAS JOSEPH HARMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3088 KEITH DR
FLINT MI
48507-1206
US

IV. Provider business mailing address

3088 KEITH DR
FLINT MI
48507-1206
US

V. Phone/Fax

Practice location:
  • Phone: 833-478-9464
  • Fax: 810-462-1093
Mailing address:
  • Phone: 833-478-9464
  • Fax: 810-462-1093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: