Provider Demographics
NPI:1558787242
Name:HOLMES CHIROPRACTIC PC
Entity Type:Organization
Organization Name:HOLMES CHIROPRACTIC PC
Other - Org Name:ELITE SPORTS AND SPINE CHIROPRACTIC PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-655-3090
Mailing Address - Street 1:2654 WILMINGTON RD
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-1547
Mailing Address - Country:US
Mailing Address - Phone:724-655-3090
Mailing Address - Fax:833-454-0090
Practice Address - Street 1:2654 WILMINGTON RD
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-1547
Practice Address - Country:US
Practice Address - Phone:724-655-3090
Practice Address - Fax:833-454-0090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-05
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010697111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty