Provider Demographics
NPI:1477568285
Name:HOLLAND CHIROPRACTIC CENTER
Entity type:Organization
Organization Name:HOLLAND CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:SLOCUM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:207-443-2635
Mailing Address - Street 1:36 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:BATH
Mailing Address - State:ME
Mailing Address - Zip Code:04530-2544
Mailing Address - Country:US
Mailing Address - Phone:207-443-2635
Mailing Address - Fax:207-443-1244
Practice Address - Street 1:36 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:BATH
Practice Address - State:ME
Practice Address - Zip Code:04530-2544
Practice Address - Country:US
Practice Address - Phone:207-443-2635
Practice Address - Fax:207-443-1244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR912111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEMM5149Medicare ID - Type UnspecifiedJEFFREY SLOCUM MEDICARE
MEU46211Medicare UPIN