Holloway, Lianne
Holloway, Lianne is an individual health care provider with primary practice located at 100 Gore Rd , Morris IL 60450-9466. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Holloway, Lianne can be contacted via phone (815) 364-8919.Contact Information
Primary practice address
100 Gore Rd
Morris IL 60450-9466
Phone: (815) 364-8919
Fax: (815) 942-4913
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036111869 | Illinois |
Profile Details
| NPI number | 1619000932 |
|---|---|
| LBN Legal business name | Holloway, Lianne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Apr 15th, 2021 - about 5 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 | 1619000932 | NPPES |
| Illinois | Other | 036-111869 | STATE LICENSE |
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