Provider Demographics
NPI:1609207109
Name:HOLDNACK, ELEANOR (DC)
Entity Type:Individual
Prefix:DR
First Name:ELEANOR
Middle Name:
Last Name:HOLDNACK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5252 LYNGATE CT
Mailing Address - Street 2:STE 203
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015-1672
Mailing Address - Country:US
Mailing Address - Phone:703-239-2300
Mailing Address - Fax:703-239-2301
Practice Address - Street 1:9135 PISCATAWAY RD
Practice Address - Street 2:STE 305
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-2549
Practice Address - Country:US
Practice Address - Phone:301-877-2323
Practice Address - Fax:301-877-2366
Is Sole Proprietor?:No
Enumeration Date:2013-12-09
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012451111N00000X
MDS03822111N00000X
DCCH030147111N00000X
VA0104557214111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAK949 - 0073OtherCAREFIRST
MD8825 - 0033OtherCAREFIRST
DCK949 - 0073OtherCAREFIRST