Holland, Charles Howard

Holland, Charles Howard is an individual health care provider with primary practice located at 3621 Manassas Dr , Roanoke VA 24018-4031. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Holland, Charles Howard can be contacted via phone (540) 774-4205.

Contact Information

Primary practice address
3621 Manassas Dr Roanoke VA 24018-4031
Phone: (540) 774-4205
Fax: (540) 774-3080
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810000601 Virginia

Profile Details

NPI number 1184610180
LBN Legal business name Holland, Charles Howard
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2005
Last updated Jul 9th, 2007 - about 19 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 1184610180 NPPES
Virginia MEDICAID 77-1035-6

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