Holm, Joanie

Holm, Joanie is an individual health care provider with primary practice located at 400 22Nd Ave , Brookings SD 57006-2497. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Holm, Joanie can be contacted via phone (605) 697-9500.

Contact Information

Primary practice address
400 22Nd Ave Brookings SD 57006-2497
Phone: (605) 697-9500
Fax: (605) 697-6939
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 4629 South Dakota

Profile Details

NPI number 1497844336
LBN Legal business name Holm, Joanie
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Sep 24th, 2007 - about 19 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 1497844336 NPPES
South Dakota MEDICAID 6826543

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