Holman, Robert G

Holman, Robert G is an sole proprietor health care provider with primary practice located at 700 W Ironwood Dr Suite 304, Coeur D Alene ID 83814-2656. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Holman, Robert G can be contacted via phone (208) 667-1588.

Contact Information

Primary practice address
700 W Ironwood Dr Suite 304 Coeur D Alene ID 83814-2656
Phone: (208) 667-1588
Fax: (208) 667-3788
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X M-6043 Idaho

Profile Details

NPI number 1952333197
LBN Legal business name Holman, Robert G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2006
Last updated Jan 11th, 2013 - about 13 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 1952333197 NPPES
Washington MEDICAID 1116375
Washington Other 10439
Washington MEDICAID 002704000
Washington Other 020040062

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