Individual
DR. JOHN SCOTT HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4010 W 65TH ST STE 120, EDINA, MN 55435-1724
(952) 922-8462
(952) 922-8462
Mailing address
5110 EDINA INDUSTRIAL BLVD, EDINA, MN 55439-3008
(612) 267-5435
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC4112
MN
111NN1001X
Nutrition Chiropractor
DC4112
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50D98IN
BCBS PROVIDER NUMBER
MN
01
—
50D99HA
MN PROVIDER NUMBER
MN
Enumeration date
09/14/2006
Last updated
08/25/2009
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