Conway, Holly C
Conway, Holly C is an individual health care provider with primary practice located at 1275 Glen Dr , Millersburg OH 44654-8958. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Conway, Holly C can be contacted via phone (330) 674-6121.Contact Information
Primary practice address
1275 Glen Dr
Millersburg OH 44654-8958
Phone: (330) 674-6121
Fax: (330) 674-7409
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3527 T387 | Ohio |
Profile Details
| NPI number | 1619977980 |
|---|---|
| LBN Legal business name | Conway, Holly C |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Jun 11th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619977980 | NPPES |
| Ohio | MEDICAID | 0468079 | |
| Ohio | Other | 34144150900 |
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