Healthcare Provider Details
I. General information
NPI: 1700012291
Provider Name (Legal Business Name): MICHELE R. KROHN-HARPER, DC, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/10/2009
Last Update Date: 06/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5138 BLAZER PKWY
DUBLIN OH
43017-1339
US
IV. Provider business mailing address
5138 BLAZER PKWY
DUBLIN OH
43017-1339
US
V. Phone/Fax
- Phone: 614-799-2260
- Fax: 614-799-2963
- Phone: 614-799-2260
- Fax: 614-799-2963
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 2314 |
| License Number State | OH |
VIII. Authorized Official
Name: DR.
MICHELE
RENEE
KROHN-HARPER
Title or Position: CHIROPRACTIC PHYSICIAN
Credential: DC
Phone: 614-799-2260