Provider Demographics
NPI:1295925519
Name:HOLLAR ENTERPRISES INC
Entity type:Organization
Organization Name:HOLLAR ENTERPRISES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:ALLAN
Authorized Official - Last Name:HOLLAR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:540-574-6166
Mailing Address - Street 1:PO BOX 2248
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-9507
Mailing Address - Country:US
Mailing Address - Phone:540-574-6166
Mailing Address - Fax:540-574-6018
Practice Address - Street 1:2505 EVELYN BYRD AVE
Practice Address - Street 2:SUITE B
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-3493
Practice Address - Country:US
Practice Address - Phone:540-574-6166
Practice Address - Fax:540-574-6018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-01
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556047111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAGC1153Medicare PIN