Holm, Marilyn Kay

Holm, Marilyn Kay is an individual health care provider with primary practice located at 2800 Cornerstone Dr Ste A6 , Pagosa Springs CO 81147-8157. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Holm, Marilyn Kay can be contacted via phone (970) 731-4300.

Contact Information

Primary practice address
2800 Cornerstone Dr Ste A6 Pagosa Springs CO 81147-8157
Phone: (970) 731-4300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1550 Kansas
Eye and Vision Services Providers / Optometrist 152W00000X 334 Alaska
Eye and Vision Services Providers / Optometrist 152W00000X 3846 Colorado

Profile Details

NPI number 1104811488
LBN Legal business name Holm, Marilyn Kay
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Mar 7th, 2023 - about 3 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 1104811488 NPPES
Kansas MEDICAID 100346290D
Kansas Other 2062367
Kansas Other 398580
Kansas Other 651065
Kansas Other 13089

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