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NPI Code Detail

MEDICARE: ERMEL FLEMING HARRIS JR. D.C.

MEDICARE:   ERMEL FLEMING HARRIS JR. 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
1111N00000XChiropractor226WV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1409013681OTHERWVRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
255607886000OTHERWVWORKERS COMPENSATION
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841297306
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERMEL FLEMING HARRIS JR. D.C.
Provider Business Mailing Address
First Line : 1100 9TH ST
Second Line : STE G
City : VIENNA
State : WV
Zip : 26105-2176
Country : US
Telephone Number : 304-295-4589
Fax Number : 304-295-6676
Provider Business Practice Location Address
First Line : 1100 9TH ST
Second Line : STE G
City : VIENNA
State : WV
Zip : 26105-2176
Country : US
Telephone Number : 304-295-4589
Fax Number : 304-295-6676
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 10/16/2009

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Directions to “ ERMEL FLEMING HARRIS JR. D.C.” Practice Location

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