Mantych, Holly

Mantych, Holly is an individual health care provider with primary practice located at 3303 . Broadway , Boulder CO 80304. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Mantych, Holly can be contacted via phone (303) 449-6050.

Contact Information

Primary practice address
3303 . Broadway Boulder CO 80304
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 129939 Colorado

Profile Details

NPI number 1881807089
LBN Legal business name Mantych, Holly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Jul 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881807089 NPPES
Colorado Other 129939 LICENSE

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