David Lee Holliday, DC | |
511 Professional Way, Kendallville, IN 46755-2928 | |
(260) 347-8177 | |
(260) 347-8171 |
Full Name | David Lee Holliday |
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Gender | Male |
Speciality | Chiropractor |
Location | 511 Professional Way, Kendallville, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467469858 | NPI | - | NPPES |
100191030 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NS0005X | Chiropractor - Sports Physician | 08001453A (Indiana) | Secondary |
111N00000X | Chiropractor | 08001453 (Indiana) | Primary |
Provider Name | Holliday Chiropractic Care Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1033962287 PECOS PAC ID: 8426499476 Enrollment ID: O20240508003650 |
Mailing Address | Practice Location Address |
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David Lee Holliday, DC 511 Professional Way, Kendallville, IN 46755-2928 Ph: (260) 347-8177 | David Lee Holliday, DC 511 Professional Way, Kendallville, IN 46755-2928 Ph: (260) 347-8177 |
Holliday Chiropractic Care, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 511 Professional Way, Kendallville, IN 46755 Phone: 260-347-8177 Fax: 260-243-7264 | |
Meleah Shull, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 402 N Riley St, Kendallville, IN 46755 Phone: 260-242-0836 Fax: 260-347-1155 | |
Dr. Lance Edward Kjendalen, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 1229 N Lima Rd, Kendallville, IN 46755 Phone: 260-347-1637 | |
Dr. Michael Thomas Cox, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 441 W North St, Kendallville, IN 46755 Phone: 260-854-4942 Fax: 260-349-1320 | |
Kendallville Chiropractic Center Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1229 N Lima Rd, Kendallville, IN 46755 Phone: 260-347-1637 Fax: 260-347-0261 | |
Jansen Family Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 402 N Riley St, Kendallville, IN 46755 Phone: 260-347-1150 Fax: 260-347-1155 |