Holladay, Genara N
Holladay, Genara N is an individual health care provider with primary practice located at 4741 Atlantic Blvd Ste E2 , Jacksonville FL 32207-1138. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Holladay, Genara N can be contacted via phone (904) 398-6400.Contact Information
Primary practice address
4741 Atlantic Blvd Ste E2
Jacksonville FL 32207-1138
Phone: (904) 398-6400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | AP866 | Florida |
Profile Details
| NPI number | 1962571638 |
|---|---|
| LBN Legal business name | Holladay, Genara N |
| Credentials | A.P., PHARM D, MD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Dec 31st, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962571638 | NPPES |
| Florida | Other | AP866 | STATE LICENSE |
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