Holland, John Chadley
Holland, John Chadley is an sole proprietor health care provider with primary practice located at 794 S Main St Ste B , Kernersville NC 27284-4074. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Holland, John Chadley can be contacted via phone (336) 904-2317.Contact Information
Primary practice address
794 S Main St Ste B
Kernersville NC 27284-4074
Phone: (336) 904-2317
Fax: (336) 443-6030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 200401636 | North Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 200401636 | North Carolina |
Profile Details
| NPI number | 1639286412 |
|---|---|
| LBN Legal business name | Holland, John Chadley |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 25th, 2006 |
| Last updated | May 2nd, 2023 - about last year |
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 | 1639286412 | NPPES |
| North Carolina | MEDICAID | 5900296 | |
| North Carolina | Other | 13836 |
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