Provider Demographics
NPI:1881172955
Name:HOLBROOK, ALAINA DARLENE (DC)
Entity type:Individual
Prefix:DR
First Name:ALAINA
Middle Name:DARLENE
Last Name:HOLBROOK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MIFFLINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17059-1003
Mailing Address - Country:US
Mailing Address - Phone:717-436-8281
Mailing Address - Fax:
Practice Address - Street 1:345 SHORT RD
Practice Address - Street 2:
Practice Address - City:SEAMAN
Practice Address - State:OH
Practice Address - Zip Code:45679-9728
Practice Address - Country:US
Practice Address - Phone:937-509-0343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-01
Last Update Date:2018-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5578111N00000X
PADC011354111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor