Dr Jack Michael Harless, DC is a
Chiropractor based in Centerville Finance, Ohio. Dr Jack Michael Harless is licensed to practice in Ohio (license number 3061) and her current practice location is
7677 Paragon Rd # D1, Centerville Finance, Ohio. She can be reached at her office (for appointments etc.) via phone at
(937) 435-8480.
NPI number for Dr Jack Michael Harless is 1376622126 and her current mailing address is 7185 Bigger Ln, Centerville Finance, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376622126.
Healthcare Provider's Profile
| Full Name | Dr Jack Michael Harless |
|---|
| Gender | Female |
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| Speciality | Chiropractor |
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| Location | 7677 Paragon Rd # D1, Centerville Finance, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1376622126
- Provider Enumeration Date: 11/03/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Jack Michael Harless such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376622126 | NPI | - | NPPES |
| 296740715-00 | Other | OH | OBWC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 3061 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jack Michael Harless is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jack Michael Harless, DC
7185 Bigger Ln,
Centerville Finance, OH 45459-4907
Ph: (937) 433-7328 | Dr Jack Michael Harless, DC
7677 Paragon Rd # D1,
Centerville Finance, OH 45459-4068
Ph: (937) 435-8480 |
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