Holm, Jefferson Wayne

Holm, Jefferson Wayne is an sole proprietor health care provider with primary practice located at 3961 E Guadalupe Rd Ste 1 , Gilbert AZ 85234-3266. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology, which is considered as his primary health care specialty. Holm, Jefferson Wayne can be contacted via phone (480) 699-4845.

Contact Information

Primary practice address
3961 E Guadalupe Rd Ste 1 Gilbert AZ 85234-3266
Phone: (480) 699-4845
Fax: (480) 699-5085
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology 2251N0400X 39016 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology 2251N0400X 9343 Arizona

Profile Details

NPI number 1740622109
LBN Legal business name Holm, Jefferson Wayne
Credentials DPT, PT, CBIS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2013
Last updated Aug 14th, 2023 - about last year

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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