Holm, Gregory Bernt

Holm, Gregory Bernt is an individual health care provider with primary practice located at 595 Russell St , Craig CO 81625-1920. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Holm, Gregory Bernt can be contacted via phone (970) 826-0911.

Contact Information

Primary practice address
595 Russell St Craig CO 81625-1920
Phone: (970) 826-0911
Fax: (970) 826-0910
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP1801062 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN.0990175-NP Colorado

Profile Details

NPI number 1922005412
LBN Legal business name Holm, Gregory Bernt
Credentials PH.D., ARNP-C, FAANP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Feb 19th, 2015 - about 10 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 1922005412 NPPES
Colorado MEDICAID 001446100

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