Provider Demographics
NPI:1376671339
Name:HOLMAN, CLAIREMARIE (DC)
Entity Type:Individual
Prefix:
First Name:CLAIREMARIE
Middle Name:
Last Name:HOLMAN
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 1:1760 SOLANO AVE
Mailing Address - Street 2:#308
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94707
Mailing Address - Country:US
Mailing Address - Phone:510-525-9489
Mailing Address - Fax:510-525-9489
Practice Address - Street 1:1760 SOLANO AVE
Practice Address - Street 2:#308
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94707
Practice Address - Country:US
Practice Address - Phone:510-525-9489
Practice Address - Fax:510-525-9489
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA#18454111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
870715925OtherEIN#
870715925OtherEIN#