Provider Demographics
NPI:1093995441
Name:MULHOLLAND CHIROPRACTIC CENTER, LLC
Entity Type:Organization
Organization Name:MULHOLLAND CHIROPRACTIC CENTER, LLC
Other - Org Name:DAVID J. MULHOLLAND, DC, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MULHOLLAND
Authorized Official - Suffix:
Authorized Official - Credentials:DC, LLC
Authorized Official - Phone:907-770-5700
Mailing Address - Street 1:2020 ABBOTT RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99507-4624
Mailing Address - Country:US
Mailing Address - Phone:907-770-5700
Mailing Address - Fax:907-770-5701
Practice Address - Street 1:2020 ABBOTT RD
Practice Address - Street 2:SUITE 2
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99507-4624
Practice Address - Country:US
Practice Address - Phone:907-770-5700
Practice Address - Fax:907-770-5701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-13
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK154111NI0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NI0900XChiropractic ProvidersChiropractorInternistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKK150309Medicare PIN