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
Phone: (701) 364-8000
Fax: (701) 364-8078
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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