Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2301007976 | MI |
N | 111NX0800X | Chiropractor Orthopedic Specialist | 2301007976 | MI |
NPI | 1760534960 |
---|---|
Provider Name | Dr. Harry L Hadley JR. |
First Address | Comstock Park, MI 49321-8002 |
Second Address | Comstock Park, MI 49321-8002 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2007 |
Last Update Date | 17/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
133481 | PREFERRED CHOICES (01) | MI |
144285446 | (05) | MI |
950H15093 | BLUE CROSS BLUE SHIELD (01) | MI |
HH007976 | (05) | MI |
U80361 | (02) | MI |