Holton, Eve Marie

Holton, Eve Marie is an individual health care provider with primary practice located at 1599 J St , Grand Forks Afb ND 58205-6306. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Holton, Eve Marie can be contacted via phone (701) 747-4529.

Contact Information

Primary practice address
1599 J St Grand Forks Afb ND 58205-6306
Phone: (701) 747-4529
Fax: (701) 747-7340
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1431-057 Wisconsin

Profile Details

NPI number 1548349616
LBN Legal business name Holton, Eve Marie
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Jul 8th, 2007 - about 19 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 1548349616 NPPES
Wisconsin MEDICAID 39104200

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