Provider Demographics
NPI:1528223641
Name:HOLLAND CHIROPRACTIC CLINIC
Entity Type:Organization
Organization Name:HOLLAND CHIROPRACTIC CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:DAN
Authorized Official - Last Name:HOLLAND
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:254-968-2726
Mailing Address - Street 1:1359 W SOUTH LOOP
Mailing Address - Street 2:SUITE B
Mailing Address - City:STEPHENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76401-5173
Mailing Address - Country:US
Mailing Address - Phone:254-968-2726
Mailing Address - Fax:254-968-2156
Practice Address - Street 1:1359 W SOUTH LOOP
Practice Address - Street 2:SUITE B
Practice Address - City:STEPHENVILLE
Practice Address - State:TX
Practice Address - Zip Code:76401-5173
Practice Address - Country:US
Practice Address - Phone:254-968-2726
Practice Address - Fax:254-968-2156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-29
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty