Provider Demographics
NPI:1851551253
Name:HOLMES, CHRISTOPHER PATRICK (DC)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:PATRICK
Last Name:HOLMES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 CAMPUS DR
Mailing Address - Street 2:STE C
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-1259
Mailing Address - Country:US
Mailing Address - Phone:732-970-3888
Mailing Address - Fax:732-851-6390
Practice Address - Street 1:100 CAMPUS DRIVE SUITE 204
Practice Address - Street 2:
Practice Address - City:MORGANVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07751
Practice Address - Country:US
Practice Address - Phone:732-970-3888
Practice Address - Fax:732-851-6390
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-10
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00671000111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor