Holdeman, Beverly A
Holdeman, Beverly A is an sole proprietor health care provider with primary practice located at 4212 W Creedance Blvd , Glendale AZ 85310-4072. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Holdeman, Beverly A can be contacted via phone (623) 780-7598.Contact Information
Primary practice address
4212 W Creedance Blvd
Glendale AZ 85310-4072
Phone: (623) 780-7598
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MT 05786 | Arizona |
Profile Details
| NPI number | 1922250083 |
|---|---|
| LBN Legal business name | Holdeman, Beverly A |
| Credentials | L.M.T., M.M.P. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 21st, 2008 |
| Last updated | Oct 21st, 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 | 1922250083 | NPPES |
| Other | MT 05786 | LICENSED MASSAGE THERAPIST | |
| Other | 448408 00 | LICENSED MASSAGE THERAPIST |
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