Roy, Holly Hullett

Roy, Holly Hullett is an individual health care provider with primary practice located at 5261 Carrollton Pike Suite B, Woodlawn VA 24381-3030. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Roy, Holly Hullett can be contacted via phone (276) 238-8876.

Contact Information

Primary practice address
5261 Carrollton Pike Suite B Woodlawn VA 24381-3030
Phone: (276) 238-8876
Fax: (276) 238-8886
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110003769 Virginia

Profile Details

NPI number 1972874394
LBN Legal business name Roy, Holly Hullett
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2012
Last updated Aug 26th, 2014 - about 11 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 1972874394 NPPES
Other C10361 GROUP ORGANIZATION PTAN
Other P01320687 GROUP ORGANIZATION PTAN
MEDICAID 1972874394 GROUP ORGANIZATION PTAN
Other 261083931 GROUP ORGANIZATION PTAN
Other DN2980 GROUP ORGANIZATION PTAN

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