Provider Demographics
NPI:1962144576
Name:HARLING, MITCHELL JAMES (DC)
Entity type:Individual
Prefix:DR
First Name:MITCHELL
Middle Name:JAMES
Last Name:HARLING
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 1:2210 TIMBERLANE TER
Mailing Address - Street 2:
Mailing Address - City:SABETHA
Mailing Address - State:KS
Mailing Address - Zip Code:66534-2653
Mailing Address - Country:US
Mailing Address - Phone:785-300-1322
Mailing Address - Fax:
Practice Address - Street 1:502 S WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:SABETHA
Practice Address - State:KS
Practice Address - Zip Code:66534-2625
Practice Address - Country:US
Practice Address - Phone:402-801-9391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-13
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-06165111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty