Provider Demographics
NPI:1710410139
Name:HOLISTIC HEALING AND CHIROPRACTIC CENTER
Entity Type:Organization
Organization Name:HOLISTIC HEALING AND CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF PRATICE
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:S
Authorized Official - Last Name:WILKINSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:734-369-2032
Mailing Address - Street 1:25 JACKSON INDUSTRIAL
Mailing Address - Street 2:SUITE 500
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103
Mailing Address - Country:US
Mailing Address - Phone:734-369-2032
Mailing Address - Fax:
Practice Address - Street 1:25 JACKSON INDUSTRIAL
Practice Address - Street 2:SUITE 500
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103
Practice Address - Country:US
Practice Address - Phone:734-369-2032
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-04
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty