Provider Demographics
NPI:1235529355
Name:HOLBROOK, EMILY (DC)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:
Last Name:HOLBROOK
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 1:1547 SW 27TH ST
Mailing Address - Street 2:
Mailing Address - City:EL RENO
Mailing Address - State:OK
Mailing Address - Zip Code:73036-5807
Mailing Address - Country:US
Mailing Address - Phone:405-295-2955
Mailing Address - Fax:405-295-2966
Practice Address - Street 1:1547 SW 27TH ST
Practice Address - Street 2:
Practice Address - City:EL RENO
Practice Address - State:OK
Practice Address - Zip Code:73036-5807
Practice Address - Country:US
Practice Address - Phone:405-295-2955
Practice Address - Fax:405-295-2966
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-27
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4185111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor