Doctor Name: | CORY JAMES HOLTWICK |
NPI Number: | 1215245824 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. NP-C |
License Number: | 5251 |
Business Practice Address: | 2410 N Fowler St Hobbs, NM - 882402312 |
Business Phone Number: | 5753922040 |
Business Fax Number: | |
Mailing Address: | Po Box 1574, ROSWELL |
State: | NM |
Postal Code: | 882021574 |
Phone Number: | 5756279555 |
Fax Number: | 5756279535 |
NPI Enumeration Date: | 09/16/2010 |
NPI Last Update Date: | 08/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 5251 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |