Holloway, Sandra K
Holloway, Sandra K is an individual health care provider with primary practice located at 1501 Ne Medical Center Dr , Bend OR 97701-6051. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Holloway, Sandra K can be contacted via phone (541) 382-2811.Contact Information
Primary practice address
1501 Ne Medical Center Dr
Bend OR 97701-6051
Phone: (541) 382-2811
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 0101043770 | Virginia |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD26430 | Oregon |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD26430 | Oregon |
Profile Details
| NPI number | 1902898729 |
|---|---|
| LBN Legal business name | Holloway, Sandra K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Sep 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902898729 | NPPES |
| Oregon | Other | 00422280 | MEDICARE RAILROAD |
| Oregon | MEDICAID | 271028 | MEDICARE RAILROAD |
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