Holy, Michael A

Holy, Michael A is an individual health care provider with primary practice located at 1801 Fairfield Ave Ste 101, Shreveport LA 71101-4457. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Holy, Michael A can be contacted via phone (318) 424-1617.

Contact Information

Primary practice address
1801 Fairfield Ave Ste 101 Shreveport LA 71101-4457
Fax: (318) 424-1610
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 03517R Louisiana
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X D4157 Texas

Profile Details

NPI number 1932105483
LBN Legal business name Holy, Michael A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Feb 28th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932105483 NPPES
Louisiana MEDICAID 1142239

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