Jack Dee Hollada, D.C.
Chiropractor · Virginia, IL
Practice location
200 E Beardstown StVirginia, IL 62691-1304
- Phone
- (217) 452-7252
NPI record
- NPI
- 1336148451
- Entity type
- Individual (Type 1)
- Enumeration date
- July 20, 2005
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X |
038-004567 | IL |
| Chiropractor | 111N00000X |
CH4004 | FL |
About Dr. Hollada
Jack Dee Hollada, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 200 E Beardstown St, Virginia, IL 62691-1304. The NPI number 1336148451 was assigned on July 20, 2005 and the record was last updated on July 8, 2007.
Dr. Hollada lists 2 licenses in the registry: #038-004567 (IL) for Chiropractor; #CH4004 (FL) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jack Dee Hollada, D.C.?
The NPI number is 1336148451.
What is the phone number of Dr. Hollada?
The phone number listed for the practice location is (217) 452-7252.
Where is Dr. Hollada located?
200 E Beardstown St, Virginia, IL 62691-1304.
What is the taxonomy code for Dr. Hollada?
The primary taxonomy code is 111N00000X – Chiropractor; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.