Holbach, Mary K

Holbach, Mary K is an individual health care provider with primary practice located at 8681 Eagle Point Blvd , Lake Elmo MN 55042-8628. 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. Holbach, Mary K can be contacted via phone (651) 251-8021.

Contact Information

Primary practice address
8681 Eagle Point Blvd Lake Elmo MN 55042-8628
Phone: (651) 251-8021
Fax: (651) 251-8050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R0944360 Minnesota

Profile Details

NPI number 1720187719
LBN Legal business name Holbach, Mary K
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Oct 4th, 2010 - about 14 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 1720187719 NPPES
Minnesota MEDICAID 861343500

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