Holm, Neal T

Holm, Neal T is an individual health care provider with primary practice located at 415 S 28Th Ave , Hattiesburg MS 39401-7246. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Holm, Neal T can be contacted via phone (601) 268-5660.

Contact Information

Primary practice address
415 S 28Th Ave Hattiesburg MS 39401-7246
Phone: (601) 268-5660
Fax: (601) 268-5759
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 200260 Louisiana
Allopathic & Osteopathic Physicians / Surgery 208600000X 200260 Louisiana
Allopathic & Osteopathic Physicians / Surgery 208600000X 21109 Mississippi

Profile Details

NPI number 1235163106
LBN Legal business name Holm, Neal T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Aug 3rd, 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 1235163106 NPPES
Mississippi Other 9778591 AETNA
Mississippi Other 6039139 AETNA
Mississippi MEDICAID 07090 AETNA
Mississippi Other 0773664 AETNA
Mississippi MEDICAID 03651066 AETNA

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