Provider Demographics
NPI:1649341496
Name:HOLLY A. HOCHSTADT, D.C., P.S.
Entity type:Organization
Organization Name:HOLLY A. HOCHSTADT, D.C., P.S.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:HOCHSTADT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:206-284-3747
Mailing Address - Street 1:419 QUEEN ANNE AVE N
Mailing Address - Street 2:SUITE 104
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-4539
Mailing Address - Country:US
Mailing Address - Phone:206-284-3747
Mailing Address - Fax:206-284-7522
Practice Address - Street 1:419 QUEEN ANNE AVE N
Practice Address - Street 2:SUITE 104
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-4539
Practice Address - Country:US
Practice Address - Phone:206-284-3747
Practice Address - Fax:206-284-7522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00003129111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty