| Organization Name: | HOLISTIC HEALTH REALITIES LLC |
| NPI Number: | 1134434731 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SRBISLAV BRASOVAN (OWNER) |
| Mailing Address: | 111 W 10th St Suite100 Hobart |
| State: | IN US |
| Postal Code: | 463425990 |
| Phone Number: | 2197382742 |
| Fax Number: | 2199420740 |
| NPI Enumeration Date: | 08/09/2010 |
| NPI Last Update Date: | 08/09/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 036103826 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |