Holdeman, Beverly A

Holdeman, Beverly A is an sole proprietor health care provider with primary practice located at 4212 W Creedance Blvd , Glendale AZ 85310-4072. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Holdeman, Beverly A can be contacted via phone (623) 780-7598.

Contact Information

Primary practice address
4212 W Creedance Blvd Glendale AZ 85310-4072
Phone: (623) 780-7598
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MT 05786 Arizona

Profile Details

NPI number 1922250083
LBN Legal business name Holdeman, Beverly A
Credentials L.M.T., M.M.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2008
Last updated Oct 21st, 2008 - about 16 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 1922250083 NPPES
Other MT 05786 LICENSED MASSAGE THERAPIST
Other 448408 00 LICENSED MASSAGE THERAPIST

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