Provider Demographics
NPI:1952430993
Name:HOLSTEN, DARREN J (DC)
Entity type:Individual
Prefix:DR
First Name:DARREN
Middle Name:J
Last Name:HOLSTEN
Suffix:
Gender:M
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:PO BOX 1070
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-7170
Mailing Address - Country:US
Mailing Address - Phone:419-947-7500
Mailing Address - Fax:
Practice Address - Street 1:144 W HIGH ST
Practice Address - Street 2:
Practice Address - City:MOUNT GILEAD
Practice Address - State:OH
Practice Address - Zip Code:43338-1215
Practice Address - Country:US
Practice Address - Phone:419-947-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2011-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1665111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHU31678Medicare UPIN
H00716712Medicare ID - Type Unspecified