Provider Demographics
NPI:1922518562
Name:HEARTWOOD HOLISTIC HEALTH, PLLC
Entity Type:Organization
Organization Name:HEARTWOOD HOLISTIC HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:KLUGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:919-929-5610
Mailing Address - Street 1:1322 FORDHAM BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-5879
Mailing Address - Country:US
Mailing Address - Phone:919-929-5610
Mailing Address - Fax:919-929-5612
Practice Address - Street 1:1322 FORDHAM BLVD STE 3
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-5879
Practice Address - Country:US
Practice Address - Phone:919-929-5610
Practice Address - Fax:919-929-5612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-10
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4591111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty