Holley, Shay

Holley, Shay is an individual health care provider with primary practice located at 5475 S 500 E , Ogden UT 84405-6905. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Holley, Shay can be contacted via phone (801) 479-2111.

Contact Information

Primary practice address
5475 S 500 E Ogden UT 84405-6905
Phone: (801) 479-2111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 275093-1205 Utah
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 275093-1205 Utah

Profile Details

NPI number 1255392213
LBN Legal business name Holley, Shay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Apr 29th, 2010 - about 16 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 1255392213 NPPES
Utah Other 930085279 RAILROAD
Utah MEDICAID D0576 RAILROAD

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