Provider Demographics
NPI:1124391214
Name:HOLLAND, JULIE MARIE (DC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:MARIE
Last Name:HOLLAND
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16805 W 16TH PL
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-2712
Mailing Address - Country:US
Mailing Address - Phone:720-924-6535
Mailing Address - Fax:
Practice Address - Street 1:16805 W 16TH PL
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-2712
Practice Address - Country:US
Practice Address - Phone:720-924-6535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-20
Last Update Date:2012-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6808111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation