Holley, Paul S

Holley, Paul S is an individual health care provider with primary practice located at 4936 Main St , Bemus Point NY 14712-9667. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Holley, Paul S can be contacted via phone (716) 386-2414.

Contact Information

Primary practice address
4936 Main St Bemus Point NY 14712-9667
Phone: (716) 386-2414
Fax: (716) 386-2437
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 204064 New York

Profile Details

NPI number 1225015696
LBN Legal business name Holley, Paul S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Nov 30th, 2020 - about 6 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 1225015696 NPPES
New York Other 00010198101 UNIVERA PROVIDER NUMBER
New York Other 0109568 UNIVERA PROVIDER NUMBER
New York Other 000524400003 UNIVERA PROVIDER NUMBER
New York MEDICAID 01669929 UNIVERA PROVIDER NUMBER

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