Hollstrom, Gregory Vernon
Hollstrom, Gregory Vernon is an individual health care provider with primary practice located at 11444 Seminole Blvd , Largo FL 33778-3237. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Hollstrom, Gregory Vernon can be contacted via phone (727) 393-6100.Contact Information
Primary practice address
11444 Seminole Blvd
Largo FL 33778-3237
Phone: (727) 393-6100
Fax: (727) 393-5461
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH002658 | Florida |
Profile Details
| NPI number | 1710988811 |
|---|---|
| LBN Legal business name | Hollstrom, Gregory Vernon |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Aug 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710988811 | NPPES |
| Florida | MEDICAID | 051502700 |
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