Delaina Dianne Harrison, DC
Individual provider Active NPI Chiropractor · Fayette, AL
NPI 1992789929 · NPPES record last updated Nov 9, 2011
Key facts
- NPI
- 1992789929
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1677 (AL)
- Practice address
- 316 3Rd St SE
Fayette, AL 35555-2936 - Phone
- (205) 932-7620
- Fax
- (205) 932-8742
- NPI assigned
- Dec 2, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1677 | AL | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1677 | AL | Yes |
Addresses
Primary practice location
316 3Rd St SE
Fayette, AL 35555-2936
Mailing address
316 3Rd St SE
Fayette, AL 35555-2936
Phone (205) 932-7620
Other providers in Fayette, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.