Holford, Mandy Irene

Holford, Mandy Irene is an sole proprietor health care provider with primary practice located at 1745 Ne Klamath Ave , Roseburg OR 97470-2119. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Holford, Mandy Irene can be contacted via phone (541) 672-5297.

Contact Information

Primary practice address
1745 Ne Klamath Ave Roseburg OR 97470-2119
Phone: (541) 672-5297
Fax: (541) 672-5297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LPN000006013 Oregon

Profile Details

NPI number 1407173297
LBN Legal business name Holford, Mandy Irene
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2010
Last updated May 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407173297 NPPES
Oregon Other LPN000006013 STATE BOARD OF NURSING

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