Holloway, Brent

Holloway, Brent is an individual health care provider with primary practice located at 1301 E 17Th St , Idaho Falls ID 83404-6273. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Holloway, Brent can be contacted via phone (208) 538-3122.

Contact Information

Primary practice address
1301 E 17Th St Idaho Falls ID 83404-6273
Phone: (208) 538-3122
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1265051171
LBN Legal business name Holloway, Brent
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2020
Last updated Apr 10th, 2020 - about 6 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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