Holler, Matthew Brady

Holler, Matthew Brady is an individual health care provider with primary practice located at 155 Memorial Dr , Pinehurst NC 28374-8710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Holler, Matthew Brady can be contacted via phone (910) 715-2164.

Contact Information

Primary practice address
155 Memorial Dr Pinehurst NC 28374-8710
Phone: (910) 715-2164
Fax: (910) 715-4493
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2006-01784 North Carolina

Profile Details

NPI number 1467445429
LBN Legal business name Holler, Matthew Brady
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Oct 22nd, 2024 - about 2 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 1467445429 NPPES
North Carolina Other 194239 MEDCOST PROVIDER #
North Carolina MEDICAID 89066MR MEDCOST PROVIDER #
North Carolina Other P00364847 MEDCOST PROVIDER #
North Carolina Other 144AP MEDCOST PROVIDER #
North Carolina Other N01784 MEDCOST PROVIDER #
North Carolina Other FH1100185 MEDCOST PROVIDER #

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