MEDICARE: DR. MICHAEL J HARPHAM D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2301006921	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	950Z900990	OTHER	MI	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1225045446
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL J HARPHAM D.C.

Provider Business Mailing Address
First Line	:	1210 SALZBURG
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-3443
Country	:	US
Telephone Number	:	989-686-6808
Fax Number	:	989-686-8303

Provider Business Practice Location Address
First Line	:	1210 SALZBURG
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-3443
Country	:	US
Telephone Number	:	989-686-6808
Fax Number	:	989-686-8303

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	04/18/2013

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