Healthcare Provider Details

I. General information

NPI: 1013082650
Provider Name (Legal Business Name): HOLMES CHIROPRACTIC PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 03/07/2024
Certification Date: 03/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 ARMCO RD
ASHLAND KY
41101-7370
US

IV. Provider business mailing address

3401 SOLUTIONS CENTER LOCKBOX #773401
CHICAGO IL
60677-3004
US

V. Phone/Fax

Practice location:
  • Phone: 606-831-4432
  • Fax: 606-326-0114
Mailing address:
  • Phone: 606-831-4432
  • Fax: 606-326-0114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. JEREMIAH HOLMES
Title or Position: OWNER
Credential: DC
Phone: 606-326-1132