Provider Demographics
NPI:1033426358
Name:HOLDEN, JAMES NOEL II (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:NOEL
Last Name:HOLDEN
Suffix:II
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 1:52171 NATIONAL RD E
Mailing Address - Street 2:SUITE 3
Mailing Address - City:SAINT CLAIRSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43950-8397
Mailing Address - Country:US
Mailing Address - Phone:740-296-5622
Mailing Address - Fax:
Practice Address - Street 1:52171 NATIONAL RD E
Practice Address - Street 2:SUITE 3
Practice Address - City:SAINT CLAIRSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43950-8397
Practice Address - Country:US
Practice Address - Phone:740-296-5622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-08
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4089111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3118441Medicaid
4309091Medicare PIN