Holub, Mark Irvin

Holub, Mark Irvin is an individual health care provider with primary practice located at 1406 6Th Ave N , St Cloud MN 56303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Holub, Mark Irvin can be contacted via phone (320) 251-2700.

Contact Information

Primary practice address
1406 6Th Ave N St Cloud MN 56303
Phone: (320) 251-2700
Fax: (320) 656-7026
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 33545 Minnesota

Profile Details

NPI number 1720038714
LBN Legal business name Holub, Mark Irvin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Dec 21st, 2012 - about 12 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 1720038714 NPPES
Minnesota MEDICAID 826305100

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