Holley, Joseph Eugene

Holley, Joseph Eugene is an individual health care provider with primary practice located at 275 Island Village Dr , Memphis TN 38103-9028. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Holley, Joseph Eugene can be contacted via phone (901) 493-5374.

Contact Information

Primary practice address
275 Island Village Dr Memphis TN 38103-9028
Phone: (901) 493-5374
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 19758 Tennessee
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 11045 Mississippi
Allopathic & Osteopathic Physicians / General Practice 208D00000X 019758 Tennessee
Allopathic & Osteopathic Physicians / General Practice 208D00000X 11045 Mississippi

Profile Details

NPI number 1952342586
LBN Legal business name Holley, Joseph Eugene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jul 24th, 2014 - about 12 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 1952342586 NPPES
Arkansas MEDICAID 154941002
Arkansas Other 4081932
Arkansas MEDICAID 00017398
Arkansas MEDICAID 3046356

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