Provider Demographics
NPI:1215358023
Name:HOLLABAUGH, CHRISTOPHER LYNN (HIS)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:LYNN
Last Name:HOLLABAUGH
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8321 S SANGRE DE CRISTO RD
Mailing Address - Street 2:STE 202
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127
Mailing Address - Country:US
Mailing Address - Phone:303-984-4414
Mailing Address - Fax:303-984-6244
Practice Address - Street 1:2980 GINNALA DR
Practice Address - Street 2:UNIT 102
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-2825
Practice Address - Country:US
Practice Address - Phone:970-593-9700
Practice Address - Fax:970-593-9712
Is Sole Proprietor?:No
Enumeration Date:2013-12-20
Last Update Date:2016-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1036237700000X
COHAD.0000312237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist