Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 1964 | AL |
NPI | 1003986282 |
---|---|
Provider Name | Dr. Chantel Spring Harlow |
First Address | Mobile, AL 36608-1522 |
Second Address | Mobile, AL 36608-1522 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2006 |
Last Update Date | 14/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U84352 | (02) | AL |