Doctor Name: | DR. EDWARD BENJAMIN HARRIOTT |
NPI Number: | 1447257670 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | DC28082 |
Business Practice Address: | 26902 Oso Pkwy Ste. 140 Mission Viejo, CA - 926915801 |
Business Phone Number: | 9496825679 |
Business Fax Number: | 9496824805 |
Mailing Address: | 26562 Baronet, MISSION VIEJO |
State: | CA |
Postal Code: | 926924173 |
Phone Number: | 9496825679 |
Fax Number: | 9496824805 |
NPI Enumeration Date: | 07/01/2005 |
NPI Last Update Date: | 02/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | DC28082 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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. |