Individual provider · Type 1 NPI
Jack Dee Hollada, DC
Chiropractor · Virginia, IL
NPI number
1336148451
Active
Practice location
200 E Beardstown St
Virginia, IL 62691-1304
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038-004567 (IL) |
| Chiropractor | 111N00000X | CH4004 (FL) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
About NPI 1336148451
Jack Dee Hollada, DC's National Provider Identifier is 1336148451, issued on Jul 20, 2005. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Virginia, IL. The record was last updated on Jul 8, 2007.