Hollifield, Michael
Hollifield, Michael is an individual health care provider with primary practice located at 4710 Jefferson St Ne Jenny Cebada, Albuquerque NM 87109-2155. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Hollifield, Michael can be contacted via phone (505) 884-1114.Contact Information
Primary practice address
4710 Jefferson St Ne Jenny Cebada
Albuquerque NM 87109-2155
Phone: (505) 884-1114
Fax: (505) 884-3004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 39065 | Kentucky |
Profile Details
| NPI number | 1134191307 |
|---|---|
| LBN Legal business name | Hollifield, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Feb 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134191307 | NPPES |
| Kentucky | MEDICAID | 64091713 |
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