Holcomb, Joel
Holcomb, Joel is an sole proprietor health care provider with primary practice located at 1604 N Washington Ave , Durant OK 74701-2128. He recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as his primary health care specialty. Holcomb, Joel can be contacted via phone (580) 920-0909.Contact Information
Primary practice address
1604 N Washington Ave
Durant OK 74701-2128
Phone: (580) 920-0909
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1124350285 |
|---|---|
| LBN Legal business name | Holcomb, Joel |
| Credentials | Bachelor of Arts (BA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2010 |
| Last updated | Jan 31st, 2010 - about 16 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 | 1124350285 | NPPES |
| Oklahoma | MEDICAID | 100746580 A |
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