Holley, Stephen Reese

Holley, Stephen Reese is an individual health care provider with primary practice located at 2 S Hospital Dr , Murphysboro IL 62966-3333. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Holley, Stephen Reese can be contacted via phone (618) 684-3156.

Contact Information

Primary practice address
2 S Hospital Dr Murphysboro IL 62966-3333
Phone: (618) 684-3156
Fax: (618) 529-0522
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036118873 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A100941 California
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036.118873 Illinois

Profile Details

NPI number 1235325994
LBN Legal business name Holley, Stephen Reese
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2007
Last updated Mar 17th, 2018 - about 6 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 1235325994 NPPES
California Other 0A1009410 BCBS OF CA
California MEDICAID 0A1009410 BCBS OF CA

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