Holley, Mark Thomas

Holley, Mark Thomas is an individual health care provider with primary practice located at 2227 West 35Th Ave. , Denver CO 80211. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Holley, Mark Thomas can be contacted via phone (303) 455-0815.

Contact Information

Primary practice address
2227 West 35Th Ave. Denver CO 80211
Phone: (303) 455-0815
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 36330 Colorado

Profile Details

NPI number 1588673107
LBN Legal business name Holley, Mark Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Apr 30th, 2021 - about 5 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 1588673107 NPPES
Colorado MEDICAID 01363308

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