Holleran, James David

Holleran, James David is an individual health care provider with primary practice located at 2000 Meade Parkway , Suffolk VA 23434-4259. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Holleran, James David can be contacted via phone (757) 539-0251.

Contact Information

Primary practice address
2000 Meade Parkway Suffolk VA 23434-4259
Phone: (757) 539-0251
Fax: (757) 934-9409
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101045121 Virginia

Profile Details

NPI number 1568425049
LBN Legal business name Holleran, James David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Mar 5th, 2013 - about 13 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 1568425049 NPPES
North Carolina MEDICAID 890528B
North Carolina Other 110038622
North Carolina MEDICAID 6036716

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