Individual
ERMEL FLEMING HARRIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1100 9TH ST, STE G, VIENNA, WV 26105-2176
(304) 295-4589
(304) 295-6676
Mailing address
1100 9TH ST, STE G, VIENNA, WV 26105-2176
(304) 295-4589
(304) 295-6676
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
226
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0131404000
—
WV
01
—
0354067
MEDICAID
OH
01
—
409013681
RAILROAD MEDICARE
WV
01
—
55607886000
WORKERS COMPENSATION
WV
Enumeration date
06/30/2005
Last updated
10/16/2009
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