Holman, Antoinette June

Holman, Antoinette June is an individual health care provider with primary practice located at Riverview Center 150 Broadway Suite 6E, Albany NY 12204. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Holman, Antoinette June can be contacted via phone (800) 343-9000.

Contact Information

Primary practice address
Riverview Center 150 Broadway Suite 6E Albany NY 12204
Phone: (800) 343-9000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 228546 New York

Profile Details

NPI number 1578788204
LBN Legal business name Holman, Antoinette June
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
Last updated Jul 9th, 2007 - about 17 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 1578788204 NPPES
New York MEDICAID 02570047

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