Holloman, Walter G

Holloman, Walter G is an individual health care provider with primary practice located at 3015 N New Ballas Rd , St Louis MO 63131. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Holloman, Walter G can be contacted via phone (314) 996-5180.

Contact Information

Primary practice address
3015 N New Ballas Rd St Louis MO 63131
Phone: (314) 996-5180
Fax: (314) 821-2180
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X R6596 Missouri
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036061640 Illinois

Profile Details

NPI number 1942383914
LBN Legal business name Holloman, Walter G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Mar 18th, 2009 - about 15 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 1942383914 NPPES
Other 135370 H LINK
Other A12402 H LINK
Other 002013128 H LINK
Other 1600226 H LINK
Other 6167 H LINK
Other 2781 H LINK
Other 27600 H LINK
Other 300066998 H LINK
Other 017012444 H LINK
Other 04802710571 H LINK
Other 201047818 H LINK
Other 201047818 H LINK
Other 431725842MID H LINK
Other 002013128 H LINK
Other 017012444 H LINK
Other 398023 H LINK
Other 0090000352 H LINK
Other 1390 H LINK

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