Provider Demographics
NPI:1952606394
Name:HOLSTEIN, KATHERINE (DC)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:
Last Name:HOLSTEIN
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 1:325 W WATER ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-6569
Mailing Address - Country:US
Mailing Address - Phone:732-569-3241
Mailing Address - Fax:
Practice Address - Street 1:325 W WATER ST
Practice Address - Street 2:SUITE 2
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-6569
Practice Address - Country:US
Practice Address - Phone:732-569-3241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-16
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008749111N00000X
NJ38MCOO680200111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor