Harrison, Andrew Michael

Harrison, Andrew Michael is an individual health care provider with primary practice located at 3643 Municipal Dr , Mchenry IL 60050-5434. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Harrison, Andrew Michael can be contacted via phone (815) 759-1100.

Contact Information

Primary practice address
3643 Municipal Dr Mchenry IL 60050-5434
Phone: (815) 759-1100
Fax: (815) 344-1208
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038.011740 Illinois

Profile Details

NPI number 1902805310
LBN Legal business name Harrison, Andrew Michael
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated May 24th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902805310 NPPES
Illinois Other F400154860 MEDICARE PTAN

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