Holley, Robert M

Holley, Robert M is an individual health care provider with primary practice located at 2500 Jefferson Ave , Pt Pleasant WV 25550. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Holley, Robert M can be contacted via phone (304) 675-1675.

Contact Information

Primary practice address
2500 Jefferson Ave Pt Pleasant WV 25550
Phone: (304) 675-1675
Fax: (304) 675-3713
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11422 West Virginia

Profile Details

NPI number 1295834810
LBN Legal business name Holley, Robert M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Aug 16th, 2010 - about 16 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 1295834810 NPPES
West Virginia MEDICAID 0050184000
West Virginia Other 001720019
West Virginia Other 55060926800
West Virginia MEDICAID 0730678
West Virginia Other 550609268

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