Holman, Robert L

Holman, Robert L is an individual health care provider with primary practice located at 101 N Putnam Ave , Pueblo CO 81005-1344. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Holman, Robert L can be contacted via phone (208) 610-6392.

Contact Information

Primary practice address
101 N Putnam Ave Pueblo CO 81005-1344
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X M-6477 Idaho
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X DR.0050537 Colorado

Profile Details

NPI number 1225083587
LBN Legal business name Holman, Robert L
Credentials MD, FACC
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Apr 23rd, 2014 - about 10 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 1225083587 NPPES
Idaho MEDICAID 003738300

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