Provider Demographics
NPI:1417291261
Name:HOLMBERG, RACHEL ALEDAH (D C)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:ALEDAH
Last Name:HOLMBERG
Suffix:
Gender:F
Credentials:D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9080 BLOSSOM LN
Mailing Address - Street 2:
Mailing Address - City:EATON RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:48827-8527
Mailing Address - Country:US
Mailing Address - Phone:517-927-9757
Mailing Address - Fax:
Practice Address - Street 1:9080 BLOSSOM LN
Practice Address - Street 2:
Practice Address - City:EATON RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:48827-8527
Practice Address - Country:US
Practice Address - Phone:517-927-9757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-18
Last Update Date:2012-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301010040111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor