Provider Demographics
NPI:1386949857
Name:HOCHSTADT, HOLLY A (DC)
Entity type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:A
Last Name:HOCHSTADT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 QUEEN ANNE AVE N
Mailing Address - Street 2:STE 104
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109
Mailing Address - Country:US
Mailing Address - Phone:206-284-3747
Mailing Address - Fax:206-284-7522
Practice Address - Street 1:419 QUEEN ANNE AVE N
Practice Address - Street 2:STE 104
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109
Practice Address - Country:US
Practice Address - Phone:206-284-3747
Practice Address - Fax:206-284-7522
Is Sole Proprietor?:No
Enumeration Date:2011-01-14
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00003129111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor