Healthcare Provider Details

I. General information

NPI: 1326194796
Provider Name (Legal Business Name): HOLLAND CHIROPRACTIC CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 08/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 MICHIGAN AVENUE
HOLLAND MI
49423
US

IV. Provider business mailing address

509 MICHIGAN AVENUE
HOLLAND MI
49423
US

V. Phone/Fax

Practice location:
  • Phone: 616-396-4400
  • Fax: 616-392-8645
Mailing address:
  • Phone: 616-396-4400
  • Fax: 616-392-8645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301005417
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301002047
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301009070
License Number StateMI

VIII. Authorized Official

Name: DR. RONALD MICHAEL VAN KINTS
Title or Position: PRESIDENT
Credential: DC
Phone: 616-396-4400