Provider Demographics
NPI:1073522645
Name:HOLLAR, JEFFREY A (DC)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:A
Last Name:HOLLAR
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:PO BOX 2248
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-9507
Mailing Address - Country:US
Mailing Address - Phone:540-574-6166
Mailing Address - Fax:540-574-6018
Practice Address - Street 1:2505 EVELYN BYRD AVE
Practice Address - Street 2:SUITE B
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-3493
Practice Address - Country:US
Practice Address - Phone:540-574-6166
Practice Address - Fax:540-574-6018
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556047111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA194043OtherANTHEM
VA194043OtherANTHEM