Holley, Thomas Rouse
Holley, Thomas Rouse is an sole proprietor health care provider with primary practice located at 5801 Eubank Blvd Ne Apt. # 69, Albuquerque NM 87111-6123. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Holley, Thomas Rouse can be contacted via phone (510) 459-0180.Contact Information
Primary practice address
5801 Eubank Blvd Ne Apt. # 69
Albuquerque NM 87111-6123
Phone: (510) 459-0180
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 77-45 | New Mexico |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 77-45 | New Mexico |
Profile Details
| NPI number | 1043440704 |
|---|---|
| LBN Legal business name | Holley, Thomas Rouse |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 15th, 2009 |
| Last updated | Aug 11th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043440704 | NPPES |
| New Mexico | MEDICAID | 25478 |
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