Holzworth, David G
Holzworth, David G is an sole proprietor health care provider with primary practice located at 14600 King Rd Suite D, Riverview MI 48193-7952. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as his primary health care specialty. Holzworth, David G can be contacted via phone (734) 479-7310.Contact Information
Primary practice address
14600 King Rd Suite D
Riverview MI 48193-7952
Phone: (734) 479-7310
Fax: (734) 479-7307
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery | 207YX0905X | 5101006598 | Michigan |
Profile Details
| NPI number | 1205828910 |
|---|---|
| LBN Legal business name | Holzworth, David G |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Aug 13th, 2008 - about 16 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 | 1205828910 | NPPES |
| Michigan | Other | P46665 | BLUE CARE NETWORK |
| Michigan | MEDICAID | 1302187 | BLUE CARE NETWORK |
| Michigan | Other | 1758239605 | BLUE CARE NETWORK |
| Michigan | Other | C5092 | BLUE CARE NETWORK |
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