Holmes, Douglas R

Holmes, Douglas R is an individual health care provider with primary practice located at 3610 2Nd Ave , Kearney NE 68847. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Holmes, Douglas R can be contacted via phone (308) 237-1311.

Contact Information

Primary practice address
3610 2Nd Ave Kearney NE 68847
Fax: (308) 237-1320
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5470 Nebraska

Profile Details

NPI number 1790888287
LBN Legal business name Holmes, Douglas R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790888287 NPPES
Nebraska MEDICAID 42117631400

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