Holmes, Robert L

Holmes, Robert L is an individual health care provider with primary practice located at 305 W Jackson St Ste 200, Carbondale IL 62901-1474. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Holmes, Robert L can be contacted via phone (618) 453-7777.

Contact Information

Primary practice address
305 W Jackson St Ste 200 Carbondale IL 62901-1474
Phone: (618) 453-7777
Fax: (618) 453-1102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-081188 Illinois

Profile Details

NPI number 1861466393
LBN Legal business name Holmes, Robert L
Credentials D.O., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Dec 28th, 2020 - about 4 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 1861466393 NPPES
Illinois MEDICAID 036081188

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