Individual
ANDREW K HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
175 S NOVA RD STE 6A, ORMOND BEACH, FL 32174-0407
(386) 677-9355
Mailing address
PO BOX 337, ORMOND BEACH, FL 32175-0337
(386) 677-9355
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH11213
FL
111N00000X
Chiropractor
DC0074901
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0872747000
KEYSTONE PROVIDER NUMBER
PA
01
—
921050
HIGHMARK PROVIDER NUMBER
PA
Enumeration date
01/26/2007
Last updated
10/28/2016
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