Provider Demographics
NPI:1275839946
Name:DOREEN DAY HOLLOWAY,DC, P.A.
Entity Type:Organization
Organization Name:DOREEN DAY HOLLOWAY,DC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DOREEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:DAY HOLLOWAY
Authorized Official - Suffix:
Authorized Official - Credentials:CHIROPRACTOR
Authorized Official - Phone:828-265-8300
Mailing Address - Street 1:1064 MEADOWVIEW DR
Mailing Address - Street 2:SUITE 8
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-4821
Mailing Address - Country:US
Mailing Address - Phone:828-265-8300
Mailing Address - Fax:828-265-8300
Practice Address - Street 1:1064 MEADOWVIEW DR
Practice Address - Street 2:SUITE 8
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-4821
Practice Address - Country:US
Practice Address - Phone:828-265-8300
Practice Address - Fax:828-265-8300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-28
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3195261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1689850539OtherTYPE 1 NPI