Holloway, Gary P

Holloway, Gary P is an individual health care provider with primary practice located at 46 W Shadbolt St , Lake Orion MI 48362-3170. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Holloway, Gary P can be contacted via phone (248) 814-9300.

Contact Information

Primary practice address
46 W Shadbolt St Lake Orion MI 48362-3170
Phone: (248) 814-9300
Fax: (248) 814-9304
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101012531 Michigan

Profile Details

NPI number 1982625976
LBN Legal business name Holloway, Gary P
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1982625976 NPPES
Michigan MEDICAID 3402566-11

Popular Providers