Doctor Name: | DR. BENJAMIN JEFFREY HARRIS |
NPI Number: | 1518269703 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 2301009703 |
Business Practice Address: | 2915 Lapeer Rd Port Huron, MI - 480607371 |
Business Phone Number: | 8109850084 |
Business Fax Number: | |
Mailing Address: | 2915 Lapeer Rd, PORT HURON |
State: | MI |
Postal Code: | 480607371 |
Phone Number: | 8109850084 |
Fax Number: | |
NPI Enumeration Date: | 11/22/2010 |
NPI Last Update Date: | 11/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 2301009703 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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. |