Provider Demographics
NPI:1033962287
Name:HOLLIDAY CHIROPRACTIC CARE, LLC
Entity Type:Organization
Organization Name:HOLLIDAY CHIROPRACTIC CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOLLIDAY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:260-347-8177
Mailing Address - Street 1:511 PROFESSIONAL WAY
Mailing Address - Street 2:
Mailing Address - City:KENDALLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46755-2928
Mailing Address - Country:US
Mailing Address - Phone:260-347-8177
Mailing Address - Fax:
Practice Address - Street 1:511 PROFESSIONAL WAY
Practice Address - Street 2:
Practice Address - City:KENDALLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46755-2928
Practice Address - Country:US
Practice Address - Phone:260-347-8177
Practice Address - Fax:260-243-7264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty