MEDICARE: DR. PETER K HARRIS 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	F1 0000437	DE

General Provider Information

NPI Number	:	1881633915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER K HARRIS D.C.

Provider Business Mailing Address
First Line	:	2616 PHILADELPHIA PIKE
Second Line	:	SUITE B
City	:	CLAYMONT
State	:	DE
Zip	:	19703
Country	:	US
Telephone Number	:	302-792-1900
Fax Number	:	302-792-0118

Provider Business Practice Location Address
First Line	:	2616 PHILADELPHIA PIKE
Second Line	:	SUITE B
City	:	CLAYMONT
State	:	DE
Zip	:	19703-2520
Country	:	US
Telephone Number	:	302-792-1900
Fax Number	:	302-792-0118

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

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	07/08/2007

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