Holman, Mark Edward

Holman, Mark Edward is an sole proprietor health care provider with primary practice located at 901 Enterprise Parkway Suite 200, Hampton VA 23666-2499. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Holman, Mark Edward can be contacted via phone (757) 826-5437.

Contact Information

Primary practice address
901 Enterprise Parkway Suite 200 Hampton VA 23666-2499
Phone: (757) 826-5437
Fax: (757) 826-5794
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101045706 Virginia

Profile Details

NPI number 1861492233
LBN Legal business name Holman, Mark Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2005
Last updated Sep 16th, 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 1861492233 NPPES
Virginia MEDICAID 006769357
Virginia Other 541663494

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