Holm, Olaf M

Holm, Olaf M is an individual health care provider with primary practice located at 812 W Mlk Blvd Ste 100 , Tampa FL 33603-3338. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is his primary health care specialty. Holm, Olaf M can be contacted via phone (813) 224-0525.

Contact Information

Primary practice address
812 W Mlk Blvd Ste 100 Tampa FL 33603-3338
Phone: (813) 224-0525
Fax: (813) 224-0622
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X POR124 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X POR124 Florida

Profile Details

NPI number 1740797901
LBN Legal business name Holm, Olaf M
Credentials LPO
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2018
Last updated Jan 9th, 2018 - about 6 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 1740797901 NPPES
Florida MEDICAID 005843900

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