Holley, Paul S
Holley, Paul S is an individual health care provider with primary practice located at 4936 Main St , Bemus Point NY 14712-9667. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Holley, Paul S can be contacted via phone (716) 386-2414.Contact Information
Primary practice address
4936 Main St
Bemus Point NY 14712-9667
Phone: (716) 386-2414
Fax: (716) 386-2437
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 204064 | New York |
Profile Details
NPI number | 1225015696 |
---|---|
LBN Legal business name | Holley, Paul S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 28th, 2005 |
Last updated | Nov 30th, 2020 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225015696 | NPPES |
New York | Other | 00010198101 | UNIVERA PROVIDER NUMBER |
New York | Other | 0109568 | UNIVERA PROVIDER NUMBER |
New York | Other | 000524400003 | UNIVERA PROVIDER NUMBER |
New York | MEDICAID | 01669929 | UNIVERA PROVIDER NUMBER |
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