Holley, Charles W

Holley, Charles W is an individual health care provider with primary practice located at 216 W Walnut St Ste A , Danville KY 40422-1832. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Holley, Charles W can be contacted via phone (859) 239-5870.

Contact Information

Primary practice address
216 W Walnut St Ste A Danville KY 40422-1832
Phone: (859) 239-5870
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 39268 South Carolina
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 041833 Georgia
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 55882 Kentucky

Profile Details

NPI number 1598737728
LBN Legal business name Holley, Charles W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Oct 25th, 2021 - about 4 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 1598737728 NPPES
South Carolina MEDICAID GA1807
South Carolina MEDICAID 000707836O

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