Holm, Jenette K

Holm, Jenette K is an individual health care provider with primary practice located at 928 Diamond Springs Rd Ste 103 , Virginia Beach VA 23455-6601. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Holm, Jenette K can be contacted via phone (757) 395-1975.

Contact Information

Primary practice address
928 Diamond Springs Rd Ste 103 Virginia Beach VA 23455-6601
Phone: (757) 395-1975
Fax: (757) 425-7180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305204366 Virginia

Profile Details

NPI number 1093799421
LBN Legal business name Holm, Jenette K
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Apr 22nd, 2022 - about 3 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 1093799421 NPPES
Virginia Other C05954 GROUP MEDICARE PTAN
Virginia Other 184149 GROUP MEDICARE PTAN

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