Provider Demographics
NPI:1376668889
Name:HOLDING CHIROPRACTIC CLINIC LLC
Entity Type:Organization
Organization Name:HOLDING CHIROPRACTIC CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOLDING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:301-464-5656
Mailing Address - Street 1:4343 NORTHVIEW DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-2602
Mailing Address - Country:US
Mailing Address - Phone:301-464-5656
Mailing Address - Fax:
Practice Address - Street 1:4343 NORTHVIEW DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-2602
Practice Address - Country:US
Practice Address - Phone:301-464-5656
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1186 PT261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center