Holmes, David R
Holmes, David R is an individual health care provider with primary practice located at 2620 Stewart Ave Ste 310 , Wausau WI 54401-4162. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Holmes, David R can be contacted via phone (715) 848-0525.Contact Information
Primary practice address
2620 Stewart Ave Ste 310
Wausau WI 54401-4162
Phone: (715) 848-0525
Fax: (715) 848-8665
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 848-057 | Wisconsin |
Profile Details
| NPI number | 1598982340 |
|---|---|
| LBN Legal business name | Holmes, David R |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1598982340 | NPPES |
| Wisconsin | MEDICAID | 39085600 |
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