Holston, Richard G.
Holston, Richard G. is an sole proprietor health care provider with primary practice located at 1731 N Oak St , Calistoga CA 94515-1118. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychoanalyst, which is considered as his primary health care specialty. Holston, Richard G. can be contacted via phone (707) 939-9921.Contact Information
Primary practice address
1731 N Oak St
Calistoga CA 94515-1118
Phone: (707) 939-9921
Fax: (707) 939-9931
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychoanalyst | 102L00000X | PL60530 | California |
Profile Details
| NPI number | 1104048982 |
|---|---|
| LBN Legal business name | Holston, Richard G. |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1104048982 | NPPES |
| California | MEDICAID | 00PL60531 |
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