Holloway, Jerome Taijay

Holloway, Jerome Taijay is an individual health care provider with primary practice located at 39210 State St. Suite 220 Fremont, Ca 94538, Fremont CA 94538. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Holloway, Jerome Taijay can be contacted via phone (510) 894-4135.

Contact Information

Primary practice address
39210 State St. Suite 220 Fremont, Ca 94538 Fremont CA 94538
Phone: (510) 894-4135
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 46-1305562 California

Profile Details

NPI number 1396380945
LBN Legal business name Holloway, Jerome Taijay
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2019
Last updated Nov 7th, 2019 - about 7 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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