Holley, Warren H

Holley, Warren H is an individual health care provider with primary practice located at 4401 Watermelon Rd , Northport AL 35473-5197. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Holley, Warren H can be contacted via phone (205) 343-2811.

Contact Information

Primary practice address
4401 Watermelon Rd Northport AL 35473-5197
Fax: (205) 391-0900
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 13116 Alabama

Profile Details

NPI number 1194719567
LBN Legal business name Holley, Warren H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Mar 1st, 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 1194719567 NPPES
Alabama MEDICAID 000089287
Alabama Other 209445
Alabama MEDICAID 06575268
Alabama Other 51089287
Alabama Other 060015749

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