Holloway, Michelle Marie
Holloway, Michelle Marie is an individual health care provider with primary practice located at 2129 Sw 59Th Street , Oklahoma City OK 73159-7024. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Holloway, Michelle Marie can be contacted via phone (405) 272-6391.Contact Information
Primary practice address
2129 Sw 59Th Street
Oklahoma City OK 73159-7024
Phone: (405) 272-6391
Fax: (405) 713-4859
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 18507 | Oklahoma |
Profile Details
| NPI number | 1235166364 |
|---|---|
| LBN Legal business name | Holloway, Michelle Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2006 |
| Last updated | Nov 13th, 2013 - about 13 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 | 1235166364 | NPPES |
| Oklahoma | MEDICAID | 100168700A |
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