Holleman, Jane Blue

Holleman, Jane Blue is an individual health care provider with primary practice located at 612 Country Club Rd , Dublin GA 31021-0112. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Holleman, Jane Blue can be contacted via phone (478) 275-1740.

Contact Information

Primary practice address
612 Country Club Rd Dublin GA 31021-0112
Phone: (478) 275-1740
Fax: (478) 272-7006
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X PT002488 Georgia

Profile Details

NPI number 1437227741
LBN Legal business name Holleman, Jane Blue
Credentials P.T., MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Jul 8th, 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 1437227741 NPPES
Georgia MEDICAID 00552351D

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