Provider Demographics
NPI:1417115270
Name:HARRY T HOLMES
Entity Type:Organization
Organization Name:HARRY T HOLMES
Other - Org Name:HOLMES CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:810-229-6390
Mailing Address - Street 1:4350 S OLD US HWY 23
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48114-8604
Mailing Address - Country:US
Mailing Address - Phone:810-229-6390
Mailing Address - Fax:810-229-9046
Practice Address - Street 1:4350 S OLD US HWY 23
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48114-8604
Practice Address - Country:US
Practice Address - Phone:810-229-6390
Practice Address - Fax:810-229-9046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-29
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301003069111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty