Hollstrom Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHR 0007282 Issued in CO

Legal business name

HOLLSTROM CHIROPRACTIC LLC

Doing business as

Pivotal Wellness

Practice address

5131 S College Ave
Fort Collins, CO 80525-3968

Phone

(970) 266-0003

NPI assigned

Sep 15, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Sullivan, DC

Title

Chiropractor

Phone

(970) 266-0003

Specialties & licenses 1

Addresses

Other names 1

• Pivotal Wellness Doing business as

Tax ID family

Hollstrom Chiropractic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Hollstrom Chiropractic LLC

  • Chiropractor
  • Fort Collins, CO
  • NPI 1376780809
  NPD tax ID

Locations

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1578931002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5131 S COLLEGE AVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253968",
            "telephone_number": "970-266-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5131 S COLLEGE AVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253968",
            "telephone_number": "970-266-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLSTROM CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "970-266-0003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR 0007282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pivotal Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julia Hollingsworth
• Grayson Hollis, DPT
• Mara Holloway
• Victoria Holloway, RN
• Hollstrom Chiropractic LLC
• Brian Douglas Hollstrom, D.C.
• Catherine Ann Hollstrom, D.C
• Holly Shaw PHD LPC LLC
• Amanda Holly
• Jonathan Holman, IOMT

• Chiropractor in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.