Provider Demographics
NPI:1992996250
Name:HAROLD L. HOLMES, D.C., P.C.
Entity type:Organization
Organization Name:HAROLD L. HOLMES, D.C., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:816-273-4154
Mailing Address - Street 1:3007 N BELT HWY STE I
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-1557
Mailing Address - Country:US
Mailing Address - Phone:816-279-1300
Mailing Address - Fax:816-279-0302
Practice Address - Street 1:3007 N BELT HWY STE I
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-1557
Practice Address - Country:US
Practice Address - Phone:816-279-1300
Practice Address - Fax:816-279-0302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-01
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO005878111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty