Holman, Mark Edward
Holman, Mark Edward is an sole proprietor health care provider with primary practice located at 901 Enterprise Parkway Suite 200, Hampton VA 23666-2499. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Holman, Mark Edward can be contacted via phone (757) 826-5437.Contact Information
Primary practice address
901 Enterprise Parkway Suite 200
Hampton VA 23666-2499
Phone: (757) 826-5437
Fax: (757) 826-5794
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101045706 | Virginia |
Profile Details
NPI number | 1861492233 |
---|---|
LBN Legal business name | Holman, Mark Edward |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 28th, 2005 |
Last updated | Sep 16th, 2015 - about 9 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 | 1861492233 | NPPES |
Virginia | MEDICAID | 006769357 | |
Virginia | Other | 541663494 |
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