Healthcare Provider Details

I. General information

NPI: 1508106360
Provider Name (Legal Business Name): HARRIS INTEGRATIVE HEALTH & NUTRITION PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2013
Last Update Date: 07/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 S CRAFTSBURY RD
CRAFTSBURY VT
05826-9026
US

IV. Provider business mailing address

129 S CRAFTSBURY RD
CRAFTSBURY VT
05826-9026
US

V. Phone/Fax

Practice location:
  • Phone: 800-255-1148
  • Fax: 800-255-1033
Mailing address:
  • Phone: 800-255-1148
  • Fax: 800-255-1033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number006.0083894
License Number StateVT

VIII. Authorized Official

Name: DR. DON ERIC HARRIS
Title or Position: PRESIDENT
Credential: DC
Phone: 800-255-1148