Healthcare Provider Details

I. General information

NPI: 1447400361
Provider Name (Legal Business Name): AARON LAWRENCE HARRIS DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2008
Last Update Date: 09/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 MALL RING CIR 205
HENDERSON NV
89014-6665
US

IV. Provider business mailing address

715 MALL RING CIR 205
HENDERSON NV
89014-6665
US

V. Phone/Fax

Practice location:
  • Phone: 702-990-2225
  • Fax: 702-990-7711
Mailing address:
  • Phone: 702-990-2225
  • Fax: 702-990-7711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number000000
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: