Individual
DR. HOLLY ELAINE ORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
3700 W DIVISION ST, SUITE 101, ST CLOUD, MN 56301
(320) 529-9999
Mailing address
3700 W DIVISION ST, SUITE 101, ST CLOUD, MN 56301
(320) 529-9999
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2169
MN
111N00000X
Chiropractor
4276
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00B250R
BCBS
—
05
—
267527700
—
MN
Enumeration date
10/10/2006
Last updated
08/14/2012
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