Holley, William A

Holley, William A is an sole proprietor health care provider with primary practice located at 2162 Main St , Buffalo NY 14214-2634. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Holley, William A can be contacted via phone (716) 862-9957.

Contact Information

Primary practice address
2162 Main St Buffalo NY 14214-2634
Fax: (716) 834-5007
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N004933 New York

Profile Details

NPI number 1205899457
LBN Legal business name Holley, William A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2006
Last updated Feb 13th, 2008 - 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 1205899457 NPPES
New York MEDICAID 01256248
New York Other 000511309005

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