Individual provider · Type 1 NPI
Samuel Winfield Holloway, BS DC
Chiropractor · Philadelphia, PA
NPI number
1639354905
Active
Practice location
3101 Cottman Ave
Philadelphia, PA 19149-1502
Mailing address
11 Mulberry Ln
Plymouth Meeting, PA 19462-2438
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | DC010122 (PA) |
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.
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About NPI 1639354905
Samuel Winfield Holloway, BS DC's National Provider Identifier is 1639354905, issued on Jan 7, 2008. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 12, 2012.