Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK DEE HOLLADA, D.C.
Active Sole ProprietorDR. JACK DEE HOLLADA, D.C. is a Chiropractor healthcare provider located in VIRGINIA, Illinois. NPI 1336148451 is currently active in the NPPES registry. Verify at CMS.
Chiropractor · VIRGINIA, IL
Registration Details
- NPI Number
- 1336148451
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 20, 2005 (21.047022304671 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
038-004567 (IL)CH4004 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
200 E BEARDSTOWN STVIRGINIA, IL, 626911304Browse IL providers · Browse ZIP 62691
- Phone
- 2174527252
- Primary Specialty
-
Chiropractor
111N00000X
- Additional Specialty
- Chiropractor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.