Holloway, Nicholas

Holloway, Nicholas is an individual health care provider with primary practice located at 1801 W 40Th Ave Suite 2B, Pine Bluff AR 71603-6940. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Holloway, Nicholas can be contacted via phone (870) 535-7457.

Contact Information

Primary practice address
1801 W 40Th Ave Suite 2B Pine Bluff AR 71603-6940
Phone: (870) 535-7457
Fax: (870) 535-2522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X C003090 Arkansas

Profile Details

NPI number 1366822058
LBN Legal business name Holloway, Nicholas
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2015
Last updated Sep 30th, 2015 - about 11 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 1366822058 NPPES
Arkansas Other 5AR79 BCBS
Arkansas Other P01502904 BCBS
Arkansas MEDICAID 209579001 BCBS

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