Doctor Name: | DR. BONNIE LINN HARDER |
NPI Number: | 1114216579 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | 4750-12 |
Business Practice Address: | 650 N Peace Rd Suite C Dekalb, IL - 601158401 |
Business Phone Number: | 8157483102 |
Business Fax Number: | 8779919641 |
Mailing Address: | 16547 E Mcneal Rd, MONROE CENTER |
State: | IL |
Postal Code: | 610529719 |
Phone Number: | 8157570425 |
Fax Number: | |
NPI Enumeration Date: | 04/06/2011 |
NPI Last Update Date: | 02/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 4750-12 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |