Holmes, Richard J
Holmes, Richard J is an individual health care provider with primary practice located at 2230 N University Pkwy Suite 1A, Provo UT 84604-1509. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Holmes, Richard J can be contacted via phone (801) 377-3413.Contact Information
Primary practice address
2230 N University Pkwy Suite 1A
Provo UT 84604-1509
Phone: (801) 377-3413
Fax: (801) 655-1890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 30867671205 | Utah |
Profile Details
| NPI number | 1083601942 |
|---|---|
| LBN Legal business name | Holmes, Richard J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2005 |
| Last updated | Jul 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083601942 | NPPES |
| Utah | Other | 356679 | DMBA |
| Utah | Other | 0004610165 | DMBA |
| Utah | Other | 107008793104 | DMBA |
| Utah | MEDICAID | 1083601942 | DMBA |
| Utah | Other | 000057007 | DMBA |
| Utah | Other | 0101468 | DMBA |
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