Holbrook, Misti Marie

Holbrook, Misti Marie is an individual health care provider with primary practice located at 321 E Main St , Morehead KY 40351-1671. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Holbrook, Misti Marie can be contacted via phone (606) 784-4161.

Contact Information

Primary practice address
321 E Main St Morehead KY 40351-1671
Phone: (606) 784-4161
Fax: (606) 783-9952
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 115956 Kentucky

Profile Details

NPI number 1154333938
LBN Legal business name Holbrook, Misti Marie
Credentials LPP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Nov 25th, 2019 - about 6 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 1154333938 NPPES
Other 11717037 CAQH
Other 000000226450 NONPAR CAQH
MEDICAID 7100283710 CAQH
Other 9488279 CAQH

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