Provider Demographics
NPI:1598919201
Name:HOLLAND CHIROPRACTIC & THERAPY CENTER INC
Entity Type:Organization
Organization Name:HOLLAND CHIROPRACTIC & THERAPY CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:SCHLIESSER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:419-865-1727
Mailing Address - Street 1:PO BOX 1284
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:OH
Mailing Address - Zip Code:43528-1284
Mailing Address - Country:US
Mailing Address - Phone:419-865-1727
Mailing Address - Fax:419-865-1707
Practice Address - Street 1:757 S MCCORD RD
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:OH
Practice Address - Zip Code:43528-8745
Practice Address - Country:US
Practice Address - Phone:419-865-1727
Practice Address - Fax:419-865-1707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-07
Last Update Date:2011-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2913111N00000X
OH571111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty