Provider Demographics
NPI:1326167826
Name:HOLMAN, ALICE KATHARINE (ND, LAC)
Entity Type:Individual
Prefix:DR
First Name:ALICE
Middle Name:KATHARINE
Last Name:HOLMAN
Suffix:
Gender:F
Credentials:ND, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 E SUNSET WAY
Mailing Address - Street 2:#172
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-3813
Mailing Address - Country:US
Mailing Address - Phone:206-550-1616
Mailing Address - Fax:
Practice Address - Street 1:14670 NE 8TH ST
Practice Address - Street 2:SUITE 215
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-4127
Practice Address - Country:US
Practice Address - Phone:425-746-4045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00002174171100000X
WANT00001052175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered171100000XOther Service ProvidersAcupuncturist
Not Answered175F00000XOther Service ProvidersNaturopath