Holley, William A
Holley, William A is an sole proprietor health care provider with primary practice located at 2162 Main St , Buffalo NY 14214-2634. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Holley, William A can be contacted via phone (716) 862-9957.Contact Information
Primary practice address
2162 Main St
Buffalo NY 14214-2634
Phone: (716) 862-9957
Fax: (716) 834-5007
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | N004933 | New York |
Profile Details
| NPI number | 1205899457 |
|---|---|
| LBN Legal business name | Holley, William A |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Feb 13th, 2008 - about 18 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 | 1205899457 | NPPES |
| New York | MEDICAID | 01256248 | |
| New York | Other | 000511309005 |
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