# HARSHMAN CHIROPRACTIC CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619179793
- **Authorized official:** MRS. LORI HARSHMAN R.N. (OFFICE MANAGER)
- **Authorized official phone:** (417) 862-1922

## Contact information

- **Practice address:** 636 W REPUBLIC ROAD, SUITE 108, SPRINGFIELD, MO 65807-5803
- **Practice address phone:** (417) 862-1922
- **Practice address fax:** (417) 862-1923
- **Mailing address:** 636 W REPUBLIC ROAD, SUITE 108, SPRINGFIELD, MO 65807-5803
- **Mailing address phone:** (417) 862-1922
- **Mailing address fax:** (417) 862-1923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 005118 | MO | Yes |

## Other

- **Enumeration date:** 06/01/2007
- **Last updated:** 05/21/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CP2562 | MEDICARE ID TYPE UNSPECIFIED | MO |