Holley, Scott Donald

Holley, Scott Donald is an individual health care provider with primary practice located at 7971 Moorsbridge Rd , Portage MI 49024-4075. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Holley, Scott Donald can be contacted via phone (269) 329-2900.

Contact Information

Primary practice address
7971 Moorsbridge Rd Portage MI 49024-4075
Phone: (269) 329-2900
Fax: (269) 329-1408
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery of the Hand 2082S0105X SH069904 Michigan
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X SH069904 Michigan

Profile Details

NPI number 1811994841
LBN Legal business name Holley, Scott Donald
Credentials M.D., F.A.C.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2005
Last updated Apr 17th, 2013 - about 11 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 1811994841 NPPES
Michigan Other 0C90475 BLUE CROSS/BLUE SHIELD

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