Dr Jack Dee Hollada, DC is a
Chiropractor based in Virginia, Illinois. Dr Jack Dee Hollada is licensed to practice in Illinois (license number 038-004567) and his current practice location is
200 E Beardstown St, Virginia, Illinois. He can be reached at his office (for appointments etc.) via phone at
(217) 452-7252.
NPI number for Dr Jack Dee Hollada is 1336148451 and his current mailing address is 200 E Beardstown St, Virginia, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336148451.
Healthcare Provider's Profile
Full Name | Dr Jack Dee Hollada |
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Gender | Male |
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Speciality | Chiropractor |
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Location | 200 E Beardstown St, Virginia, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336148451
- Provider Enumeration Date: 07/20/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Jack Dee Hollada such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336148451 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 038-004567 (Illinois) | Primary |
111N00000X | Chiropractor | CH4004 (Florida) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jack Dee Hollada is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Jack Dee Hollada, DC 200 E Beardstown St, Virginia, IL 62691-1304 Ph: (217) 452-7252 | Dr Jack Dee Hollada, DC 200 E Beardstown St, Virginia, IL 62691-1304 Ph: (217) 452-7252 |
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