Provider Demographics
NPI:1922491752
Name:HOLISTIC HEALING & CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:HOLISTIC HEALING & CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARGE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-283-9610
Mailing Address - Street 1:6278 N FEDERAL HWY
Mailing Address - Street 2:PMB 391
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-1916
Mailing Address - Country:US
Mailing Address - Phone:954-283-9610
Mailing Address - Fax:
Practice Address - Street 1:437 E ATLANTIC BLVD
Practice Address - Street 2:UNIT 2
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-6214
Practice Address - Country:US
Practice Address - Phone:954-283-9610
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-18
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty