Provider Demographics
NPI:1972940351
Name:HOLISTIC EINSTEIN PLLC
Entity type:Organization
Organization Name:HOLISTIC EINSTEIN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:EINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:207-470-0499
Mailing Address - Street 1:219 MILL ST
Mailing Address - Street 2:
Mailing Address - City:ROCKPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04856-4843
Mailing Address - Country:US
Mailing Address - Phone:207-470-0499
Mailing Address - Fax:207-221-5707
Practice Address - Street 1:219 MILL ST
Practice Address - Street 2:
Practice Address - City:ROCKPORT
Practice Address - State:ME
Practice Address - Zip Code:04856-4843
Practice Address - Country:US
Practice Address - Phone:207-470-0499
Practice Address - Fax:207-221-5707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-26
Last Update Date:2013-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center