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Individual
DR. JEFFREY L HOLMES
Active
Individual
DR. JEFFREY L HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
2705
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2705
WA CHIRO LICENSE #
WA
01
—
31159
L&I
WA
01
—
350050140
RAILROAD MEDICARE
WA
01
—
5448436
AETNA PROVIDER #
WA
01
—
601-879-408
WA UBI#
WA
01
—
91-192704
FEDERAL TAX ID #
WA
01
—
H04731
REGENCE
WA
Enumeration date
08/17/2006
Last updated
05/04/2018
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