JACK M. HARLESS LLC (NPI# 1255751962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255751962 |
| Entity Type | Organization |
| Organization Name | JACK M. HARLESS LLC |
| Practice Address |
7974 Bigger Rd Centerville OH 45459-5405 |
| Mailing Address |
8200 Provincial Way Centerville OH 45458-2693 |
| Practice Telephone | 9376810512 |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-04-21 |
| Authorized Official Name | JACK HARLESS (CHIROPRACTOR) |
| Authorized Official Telephone | 9376810512 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
7974 BIGGER RD |
| City | CENTERVILLE |
| State | OH |
| Zip Code | 45459-5405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659917466 | Sarai Burke Robinson | Occupational Therapist | 2200 Miami Valley Rd, Dayton, OH 45459 | 2019-11-27 |
| 1689179855 | Paragon Infusion Therapy, LLC | Durable Medical Equipment & Medical Supplies | 1746 Thomas Paine Pkwy, Centerville, OH 45459 | 2018-03-28 |
| 1922555473 | Hannah Gualtieri | Specialist/Technologist | Miami Valley Drive, Suite 320, Centerville, OH 45459 | 2016-09-01 |
| 1326410028 | Kathleen E Dorsten | Counselor | 37 Irongate Park Dr, Centerville, OH 45459 | 2015-10-21 |
| 1184000846 | Valeriya Falkenshtern | Specialist/Technologist | 2400 Miami Valley Drive, Newborn Hearing Screens, Dayton, OH 45459 | 2015-08-05 |
| 1700169331 | Monica Lynn Carrico | Registered Nurse | 7625 Paragon Road Suite C, Dayton, OH 45459 | 2011-09-20 |
| 1427360080 | Tonia S Campbell | Physical Therapist | 1235 E. Alex Bell Road, Centerville, OH 45459 | 2010-07-11 |
| 1265768956 | Health At Home, LLC | Home Health | 6443 Bethany Village Drive, Dayton, OH 45459 | 2009-10-30 |
| 1881826337 | Annetta Jean Davis | Social Worker | 7950 Clyo Road, Centerville, OH 45459 | 2009-08-18 |
| 1740459783 | Ryan A Long | Dentist | 2591 Miamisburg-centerville Rd, Suite 200, Dayton, OH 45459 | 2008-02-25 |
| Find all providers in zip 45459 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407493471 | Zach Hutt | Chiropractor | 603 N 2nd St, Centerville, IA 52544-1202 | 2019-12-09 |
| 1447786090 | Dr W Nathan Baxter Inc | Chiropractor | 5812 Wilmington Pike, Centerville, OH 45459-7004 | 2017-05-02 |
| 1144589458 | Robert Wilson | Chiropractor | 132a N Central Ave, Centerville, TN 37033 | 2012-05-07 |
| 1487981775 | Russell Kenneth Hulbert | Chiropractor | 145 West Franklin Street, Centerville, OH 45459-4701 | 2009-11-09 |
| 1013140664 | Timothy David Dooley | Chiropractor | 1504 Yankee Park Pl, Centerville, OH 45458-1878 | 2009-08-31 |
| 1861623639 | Eric James Clements | Chiropractor | 2058 Willow Cir, Centerville, MN 55038-8772 | 2009-07-28 |
| 1396951562 | L Bryce Crowley | Chiropractor | 1134 W 500 N, Centerville, UT 84014-1721 | 2007-05-15 |
| 1891914776 | Alexis Mary Hrynko-kouri | Chiropractor | 619 Main St Ste 2, Centerville, MA 02632-2954 | 2007-04-25 |
| 1174658264 | Thomas Francis Schlavin Jr. | Chiropractor | 1881 Main St, Centerville, MN 55038-9794 | 2007-02-22 |
| 1588707764 | Jerry Park | Chiropractor | 224 S Main St Ste 1, Centerville, UT 84014-2206 | 2007-02-15 |
| Find all providers in CENTERVILLE | ||||
| City | CENTERVILLE |
| Zip Code | 45459 |
Please comment or provide details below to improve the information on JACK M. HARLESS LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.