Bean, Holly Rose

Bean, Holly Rose is an individual health care provider with primary practice located at 2314 Sassafras St Ste 310 , Erie PA 16502. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Bean, Holly Rose can be contacted via phone (814) 456-6194.

Contact Information

Primary practice address
2314 Sassafras St Ste 310 Erie PA 16502
Phone: (814) 456-6194
Fax: (814) 452-5777
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X OS019486 Pennsylvania

Profile Details

NPI number 1164866372
LBN Legal business name Bean, Holly Rose
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2013
Last updated Sep 30th, 2020 - about 5 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 1164866372 NPPES
Pennsylvania MEDICAID 103240095

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