Provider Demographics
NPI:1306092523
Name:HOLLANDER, BRIAN HOWARD (DC)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:HOWARD
Last Name:HOLLANDER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 POST RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824-5730
Mailing Address - Country:US
Mailing Address - Phone:203-259-1555
Mailing Address - Fax:203-254-2417
Practice Address - Street 1:2000 POST RD
Practice Address - Street 2:SUITE 203
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-5730
Practice Address - Country:US
Practice Address - Phone:203-259-1555
Practice Address - Fax:203-254-2417
Is Sole Proprietor?:No
Enumeration Date:2008-08-08
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001772111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor