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:
Health care specialties
| Specialty | Code | License # | 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 2 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 | 1093799421 | NPPES |
| Virginia | Other | C05954 | GROUP MEDICARE PTAN |
| Virginia | Other | 184149 | GROUP MEDICARE PTAN |
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