Hollstrom, Claire Ashley

Hollstrom, Claire Ashley is an individual health care provider with primary practice located at 1555 Doctors Dr Ste 106, Lagrange GA 30240-4139. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as her primary health care specialty. Hollstrom, Claire Ashley can be contacted via phone (706) 845-9370.

Contact Information

Primary practice address
1555 Doctors Dr Ste 106 Lagrange GA 30240-4139
Phone: (706) 845-9370
Fax: (706) 845-9371
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X POD000915 Georgia

Profile Details

NPI number 1114978475
LBN Legal business name Hollstrom, Claire Ashley
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jun 9th, 2008 - 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 1114978475 NPPES
Georgia MEDICAID 918747252A

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