Individual
ETHAN HARBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
10A S POPLAR ST, PANA, IL 62557-1402
(217) 562-9214
(217) 562-4771
Mailing address
10A S POPLAR ST, PANA, IL 62557-1402
(217) 562-9214
(217) 562-4771
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.013835
IL
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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