Provider Demographics
NPI:1134849292
Name:WILLIAM RICHARD HOLDSWORTH
Entity type:Organization
Organization Name:WILLIAM RICHARD HOLDSWORTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLDSWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:973-579-1921
Mailing Address - Street 1:17 US HIGHWAY 206 STE 2
Mailing Address - Street 2:
Mailing Address - City:STANHOPE
Mailing Address - State:NJ
Mailing Address - Zip Code:07874-3274
Mailing Address - Country:US
Mailing Address - Phone:973-579-1921
Mailing Address - Fax:973-579-7026
Practice Address - Street 1:17 US HIGHWAY 206 STE 2
Practice Address - Street 2:
Practice Address - City:STANHOPE
Practice Address - State:NJ
Practice Address - Zip Code:07874-3274
Practice Address - Country:US
Practice Address - Phone:973-579-1921
Practice Address - Fax:973-579-7026
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WILLIAM RICHARD HOLDSWORTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-30
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty