Provider Demographics
NPI:1497842330
Name:HARRINGTON, PATRICK WILLIAM (DC)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:WILLIAM
Last Name:HARRINGTON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 N HWY 77
Mailing Address - Street 2:STE C
Mailing Address - City:DELL RAPIDS
Mailing Address - State:SD
Mailing Address - Zip Code:57022-1552
Mailing Address - Country:US
Mailing Address - Phone:605-428-4444
Mailing Address - Fax:605-428-4458
Practice Address - Street 1:507 N HWY 77
Practice Address - Street 2:STE C
Practice Address - City:DELL RAPIDS
Practice Address - State:SD
Practice Address - Zip Code:57022-1552
Practice Address - Country:US
Practice Address - Phone:605-428-4444
Practice Address - Fax:605-428-4458
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2013-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD940111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD7601260Medicaid
SD7601260Medicaid