Holman, Johnathan
Holman, Johnathan is an individual health care provider with primary practice located at 1402 Main St Box 176, Bloomer WI 54724-1637. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Holman, Johnathan can be contacted via phone (715) 568-4669.Contact Information
Primary practice address
1402 Main St Box 176
Bloomer WI 54724-1637
Phone: (715) 568-4669
Fax: (715) 568-4673
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 1216-019 | Wisconsin |
Profile Details
| NPI number | 1114255064 |
|---|---|
| LBN Legal business name | Holman, Johnathan |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 3rd, 2009 |
| Last updated | Dec 3rd, 2009 - about 15 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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