Jan A Harbour, DC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

271 Issued in WV

Practice address

3551 Teays Valley Rd
Hurricane, WV 25526-9054

Phone

(304) 757-7668

Fax

(304) 757-9045

NPI assigned

Jun 13, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Putnam Chiropractic Center

  • Rehabilitation Chiropractor
  • Hurricane, WV
  • NPI 1578646022
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417951807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 TEAYS VALLEY RD",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269054",
            "telephone_number": "304-757-7668",
            "fax_number": "304-757-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 TEAYS VALLEY RD",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269054",
            "telephone_number": "304-757-7668",
            "fax_number": "304-757-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBOUR",
        "first_name": "JAN",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "WV",
            "license": "271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0131538000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS' COMPENSATION",
            "identifier": "1022668",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yolanda Hall
• Leighann R Hamrick, CRNA
• Rebecca Madeline Handley
• Hanger Prosthetics & Orthotics Inc
• Hanger Prosthetics & Orthtotics Inc
• Brittany Harmon
• Gregory S. Harrah, MD
• Wendy Renee Harris-Altizer, PHYSICAL THERAPIST
• Param Harris, PTA
• Sharon Kay Harris

• Rehabilitation Chiropractor in Hurricane, WV
• Providers in Hurricane, WV by specialty
• Rehabilitation Chiropractor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.