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
Fax: (540) 772-2195
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912414079 NPPES
Virginia MEDICAID 0813000391

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