Holtgrewe, Michael Ray

Holtgrewe, Michael Ray is an sole proprietor health care provider with primary practice located at 401 Matthew St Wound Care Center, Marietta OH 45750-1635. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Holtgrewe, Michael Ray can be contacted via phone (740) 374-1623.

Contact Information

Primary practice address
401 Matthew St Wound Care Center Marietta OH 45750-1635
Phone: (740) 374-1623
Fax: (740) 568-5355
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 35.043477 Ohio

Profile Details

NPI number 1235134578
LBN Legal business name Holtgrewe, Michael Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2005
Last updated Feb 17th, 2014 - about 12 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 1235134578 NPPES
Ohio Other 000000728056 ANTHEM
Ohio MEDICAID 0041480000 ANTHEM
Ohio Other 000000727930 ANTHEM
Ohio Other P01254615 ANTHEM
Ohio MEDICAID 0397324 ANTHEM

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