Provider Demographics
NPI:1285082214
Name:HOLT CHIROPRACTIC IN
Entity type:Organization
Organization Name:HOLT CHIROPRACTIC IN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:805-560-6666
Mailing Address - Street 1:533 E MICHELTORENA ST
Mailing Address - Street 2:#204
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93103-2200
Mailing Address - Country:US
Mailing Address - Phone:805-560-6666
Mailing Address - Fax:805-770-2020
Practice Address - Street 1:533 E MICHELTORENA ST
Practice Address - Street 2:#204
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93103-2200
Practice Address - Country:US
Practice Address - Phone:805-560-6666
Practice Address - Fax:805-770-2020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-31
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30089111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Multi-Specialty