Hollomon, Michael G

Hollomon, Michael G is an individual health care provider with primary practice located at 601 W Maple Suite 403, Springdale AR 72764-5374. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Psychiatry, which is considered as his primary health care specialty. Hollomon, Michael G can be contacted via phone (479) 750-2742.

Contact Information

Primary practice address
601 W Maple Suite 403 Springdale AR 72764-5374
Phone: (479) 750-2742
Fax: (479) 750-2742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X R2597 Arkansas

Profile Details

NPI number 1184674962
LBN Legal business name Hollomon, Michael G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jul 8th, 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 1184674962 NPPES
Arkansas MEDICAID 103605001

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