Holloway, Charles H

Holloway, Charles H is an individual health care provider with primary practice located at 1900 Fairview Ave , Dothan AL 36301-3008. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Holloway, Charles H can be contacted via phone (334) 793-9511.

Contact Information

Primary practice address
1900 Fairview Ave Dothan AL 36301-3008
Phone: (334) 793-9511
Fax: (334) 794-0721
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 13689 Alabama
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 13689 Alabama

Profile Details

NPI number 1760465413
LBN Legal business name Holloway, Charles H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Jan 15th, 2010 - about 14 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 1760465413 NPPES
Alabama MEDICAID 009931907
Alabama MEDICAID 009931904
Alabama MEDICAID 009931906
Alabama MEDICAID 000018164

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