Holloway, Edward

Holloway, Edward is an individual health care provider with primary practice located at 21298 Olean Blvd , Port Charlotte FL 33949. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Holloway, Edward can be contacted via phone (941) 629-1181.

Contact Information

Primary practice address
21298 Olean Blvd Port Charlotte FL 33949
Phone: (941) 629-1181
Fax: (941) 624-6020
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN3180702 Florida

Profile Details

NPI number 1962434399
LBN Legal business name Holloway, Edward
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Dec 8th, 2011 - about 13 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 1962434399 NPPES
Florida MEDICAID 310998400

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