Holford, Mandy Irene
Holford, Mandy Irene is an sole proprietor health care provider with primary practice located at 1745 Ne Klamath Ave , Roseburg OR 97470-2119. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Holford, Mandy Irene can be contacted via phone (541) 672-5297.Contact Information
Primary practice address
1745 Ne Klamath Ave
Roseburg OR 97470-2119
Phone: (541) 672-5297
Fax: (541) 672-5297
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Licensed Practical Nurse | 164W00000X | LPN000006013 | Oregon |
Profile Details
NPI number | 1407173297 |
---|---|
LBN Legal business name | Holford, Mandy Irene |
Credentials | Licensed Practical Nurse (LPN) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 3rd, 2010 |
Last updated | May 3rd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407173297 | NPPES |
Oregon | Other | LPN000006013 | STATE BOARD OF NURSING |
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