Hollis, Robert

Hollis, Robert is an individual health care provider with primary practice located at 27 Medical Center Dr , Jackson TN 38301-3949. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Hollis, Robert can be contacted via phone (731) 424-1001.

Contact Information

Primary practice address
27 Medical Center Dr Jackson TN 38301-3949
Phone: (731) 424-1001
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 24538 Tennessee

Profile Details

NPI number 1356393078
LBN Legal business name Hollis, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jun 29th, 2022 - about 4 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 1356393078 NPPES
Tennessee MEDICAID 3076068
Tennessee Other 8165
Tennessee Other 4472668
Tennessee Other 100008392
Tennessee Other 170088
Tennessee Other 8262001

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