Thomas, Holly

Thomas, Holly is an individual health care provider with primary practice located at 1234 Napier Ave , Saint Joseph MI 49085-2112. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Thomas, Holly can be contacted via phone (269) 428-0118.

Contact Information

Primary practice address
1234 Napier Ave Saint Joseph MI 49085-2112
Phone: (269) 428-0118
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X HT168221 Michigan

Profile Details

NPI number 1710941711
LBN Legal business name Thomas, Holly
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 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 1710941711 NPPES
Michigan MEDICAID 481055

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