IndividualActive
Jack Harris
NPI 1629590286 · Home Modifications Contractor · Chesapeake, VA
Provider details
- NPI number
- 1629590286
- Entity type
- Individual
- Primary specialty
- Home Modifications ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 2705161949 (VA)
Specialties & taxonomies
Other Service Providers
Practice location
156 Greengable Way
Chesapeake, VA 23322
Phone: (757) 560-0231
Fax: (757) 482-9033
Approximate (ZIP-level) locationGet directions
Mailing address
156 Greengable Way
Chesapeake, VA 23322-4278
Registry dates
- Enumerated
- 2017-07-14
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.