Holland, Charles Howard
Holland, Charles Howard is an individual health care provider with primary practice located at 3621 Manassas Dr , Roanoke VA 24018-4031. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Holland, Charles Howard can be contacted via phone (540) 774-4205.Contact Information
Primary practice address
3621 Manassas Dr
Roanoke VA 24018-4031
Phone: (540) 774-4205
Fax: (540) 774-3080
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0810000601 | Virginia |
Profile Details
NPI number | 1184610180 |
---|---|
LBN Legal business name | Holland, Charles Howard |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 25th, 2005 |
Last updated | Jul 9th, 2007 - about 17 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 | 1184610180 | NPPES |
Virginia | MEDICAID | 77-1035-6 |
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