Holm, Mary K

Holm, Mary K is an individual health care provider with primary practice located at 3000 32Nd Ave S , Fargo ND 58103-6132. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Holm, Mary K can be contacted via phone (701) 364-8000.

Contact Information

Primary practice address
3000 32Nd Ave S Fargo ND 58103-6132
Fax: (701) 364-8078
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 6960 North Dakota

Profile Details

NPI number 1477583664
LBN Legal business name Holm, Mary K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Oct 26th, 2020 - about 4 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 1477583664 NPPES
North Dakota Other 0701529 MEDICA #
North Dakota MEDICAID 587814400 MEDICA #
North Dakota Other HP19491 MEDICA #
North Dakota Other 0702336 MEDICA #
North Dakota Other 6T548HO MEDICA #
North Dakota Other 12465 MEDICA #
North Dakota Other 142015 MEDICA #
North Dakota Other DDA9011015539 MEDICA #
North Dakota Other 0701528 MEDICA #
North Dakota Other 67D25HO MEDICA #
North Dakota Other ND200022 MEDICA #
North Dakota Other 17944 MEDICA #
North Dakota MEDICAID 18142 MEDICA #
North Dakota Other 13809 MEDICA #

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