Healthcare Provider Details

I. General information

NPI: 1881645927
Provider Name (Legal Business Name): CYNTHIA JEAN HARRINGTON DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2006
Last Update Date: 11/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 PYLE DR FAMILY CHIROPRACTIC CLINIC PC
KINGSFORD MI
49802-4454
US

IV. Provider business mailing address

815 PYLE DR FAMILY CHIROPRACTIC CLINIC PC
KINGSFORD MI
49802-4454
US

V. Phone/Fax

Practice location:
  • Phone: 906-774-4911
  • Fax: 906-776-1778
Mailing address:
  • Phone: 906-774-4911
  • Fax: 906-776-1778

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301005030
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: