Holmes, Richard J

Holmes, Richard J is an individual health care provider with primary practice located at 2230 N University Pkwy Suite 1A, Provo UT 84604-1509. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Holmes, Richard J can be contacted via phone (801) 377-3413.

Contact Information

Primary practice address
2230 N University Pkwy Suite 1A Provo UT 84604-1509
Fax: (801) 655-1890
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 30867671205 Utah

Profile Details

NPI number 1083601942
LBN Legal business name Holmes, Richard J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Jul 1st, 2013 - about 11 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 1083601942 NPPES
Utah Other 356679 DMBA
Utah Other 0004610165 DMBA
Utah Other 107008793104 DMBA
Utah MEDICAID 1083601942 DMBA
Utah Other 000057007 DMBA
Utah Other 0101468 DMBA

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