Smith, Holly Lynn

Smith, Holly Lynn is an individual health care provider with primary practice located at 306 South Main St. , Rural Retreat VA 24368. She recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as her primary health care specialty. Smith, Holly Lynn can be contacted via phone (276) 686-5116.

Contact Information

Primary practice address
306 South Main St. Rural Retreat VA 24368
Fax: (276) 686-6289
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 0101047615 Virginia

Profile Details

NPI number 1407804420
LBN Legal business name Smith, Holly Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jul 8th, 2007 - about 18 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 1407804420 NPPES
Virginia MEDICAID 005667658

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