Individual
DR. CHANELLE R HOLLIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
126 S 2ND ST, BLACK RIVER FALLS, WI 54615-1726
(715) 284-2915
(715) 284-7492
Mailing address
126 S 2ND ST, BLACK RIVER FALLS, WI 54615-1726
(715) 284-2915
(715) 284-7492
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3715
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
205747937017
BCBS
WI
05
—
38929100
—
WI
Enumeration date
07/28/2005
Last updated
07/08/2007
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