MEDICARE: HOLLAND FAMILY CHIROPRACTIC CENTER, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	0104002003	VA

General Provider Information

NPI Number	:	1659623551
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLLAND FAMILY CHIROPRACTIC CENTER, P.C.

Provider Business Mailing Address
First Line	:	11226 PATTERSON AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23238-5011
Country	:	US
Telephone Number	:	804-754-7728
Fax Number	:

Provider Business Practice Location Address
First Line	:	11226 PATTERSON AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23238-5011
Country	:	US
Telephone Number	:	804-754-7728
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JAMES ABE HOLLAND
Credential	:	D.C.
Telephone Number	:	804-754-7728

Provider Enumeration Date	:	10/03/2012
Last Update Date	:	10/03/2012

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