Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 5295 | AZ |
N | 111N00000X | Chiropractor | B01311 | NV |
N | 111N00000X | Chiropractor | DC15200 | CA |
N | 111NI0013X | Independent Medical Examiner | DC 15200 | CA |
NPI | 1376560011 |
---|---|
Provider Name | Dr. Harley Finkle |
First Address | Lake Havasu City, AZ 86405-3358 |
Second Address | Lake Havasu City, AZ 86403-0962 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 07/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
DC0152000 | (02) |