MEDICARE: HAROLD L. HOLMES, D.C., 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	005878	MO

General Provider Information

NPI Number	:	1992996250
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAROLD L. HOLMES, D.C., P.C.

Provider Business Mailing Address
First Line	:	3007 N BELT HWY STE I
Second Line	:
City	:	SAINT JOSEPH
State	:	MO
Zip	:	64506-1557
Country	:	US
Telephone Number	:	816-279-1300
Fax Number	:	816-279-0302

Provider Business Practice Location Address
First Line	:	3007 N BELT HWY STE I
Second Line	:
City	:	SAINT JOSEPH
State	:	MO
Zip	:	64506-1557
Country	:	US
Telephone Number	:	816-279-1300
Fax Number	:	816-279-0302

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. HAROLD HOLMES
Credential	:	D.C.
Telephone Number	:	816-273-4154

Provider Enumeration Date	:	08/01/2007
Last Update Date	:	05/13/2008

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