Provider Demographics
NPI:1093587636
Name:HOLMES CHIROPRACTIC CARE INC.
Entity Type:Organization
Organization Name:HOLMES CHIROPRACTIC CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TANNER
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:360-728-6795
Mailing Address - Street 1:5775 SOUNDVIEW DR STE A103
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-2090
Mailing Address - Country:US
Mailing Address - Phone:360-728-6795
Mailing Address - Fax:
Practice Address - Street 1:5775 SOUNDVIEW DR STE A103
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-2090
Practice Address - Country:US
Practice Address - Phone:360-728-6795
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-26
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service