Provider Demographics
NPI:1942573571
Name:HOLLERN CHIROPRACTIC P.S.C.
Entity Type:Organization
Organization Name:HOLLERN CHIROPRACTIC P.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:HOLLERN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:502-366-9200
Mailing Address - Street 1:5215 NEW CUT RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40214-3511
Mailing Address - Country:US
Mailing Address - Phone:502-366-9200
Mailing Address - Fax:502-366-0409
Practice Address - Street 1:5215 NEW CUT RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40214-3511
Practice Address - Country:US
Practice Address - Phone:502-366-9200
Practice Address - Fax:502-366-0409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-13
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4221111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty