Holloway, Sandra K
Holloway, Sandra K is an individual health care provider with primary practice located at 2200 Ne Neff Rd Ste 302 , Bend OR 97701-4279. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Holloway, Sandra K can be contacted via phone (541) 706-4220.Contact Information
Primary practice address
2200 Ne Neff Rd Ste 302
Bend OR 97701-4279
Phone: (541) 706-4220
Fax: (541) 597-5819
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD26430 | Oregon |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 0101043770 | Virginia |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 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 | Aug 1st, 2024 - about 2 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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