Holliman, Maggie Clare
Holliman, Maggie Clare is an individual health care provider with primary practice located at 5937 Cove Rd , Roanoke VA 24019-2403. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Holliman, Maggie Clare can be contacted via phone (540) 562-3900.Contact Information
Primary practice address
5937 Cove Rd
Roanoke VA 24019-2403
Phone: (540) 562-3900
Fax: (540) 772-2195
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / School | 103TS0200X |
Profile Details
NPI number | 1912414079 |
---|---|
LBN Legal business name | Holliman, Maggie Clare |
Credentials | EDS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 10th, 2018 |
Last updated | Jun 16th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912414079 | NPPES |
Virginia | MEDICAID | 0813000391 |
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