Michael R Hollerbach, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC04784 Issued in OH

Practice address

10345 Waterville St
Whitehouse, OH 43571-9176

Phone

(419) 419-3800

Fax

(419) 830-4020

NPI assigned

May 4, 2007

Reactivated

Feb 27, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Anthony Wayne Community Chiropractic LLC

  • Chiropractor
  • Whitehouse, OH
  • NPI 1750883260
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519862400000",
    "number": "1003028663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10345 WATERVILLE ST",
            "city": "WHITEHOUSE",
            "state": "OH",
            "postal_code": "435719176",
            "telephone_number": "419-419-3800",
            "fax_number": "419-830-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10345 WATERVILLE ST",
            "city": "WHITEHOUSE",
            "state": "OH",
            "postal_code": "435719176",
            "telephone_number": "419-419-3800",
            "fax_number": "419-830-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLERBACH",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2018-03-01",
        "deactivation_date": "2018-01-04",
        "reactivation_date": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC04784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Thomas Gentile, PHARMACY
• Sarah A Grebe
• Jamie Rene Hernandez, LMT
• Ebony Hill
• Donya Marcel Hogston, OT/L
• Bert Hutchison
• Candy L Jefts
• Hannah Elizabeth Keller, D.D.S.
• Anne Elizabeth Knepper, NP
• Larry Reed

• All providers in Whitehouse, OH
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.