Zoe, Holly

Zoe, Holly is an sole proprietor health care provider with primary practice located at 2060 S Woodruff Ave , Idaho Falls ID 83404-6396. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is her primary health care specialty. Zoe, Holly can be contacted via phone (208) 523-7246.

Contact Information

Primary practice address
2060 S Woodruff Ave Idaho Falls ID 83404-6396
Phone: (208) 523-7246
Fax: (208) 523-7247
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 4301088935 Michigan
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X PENDING Wisconsin
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X M-9902 Idaho
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X SPHY-9902 Idaho

Profile Details

NPI number 1588778708
LBN Legal business name Zoe, Holly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2006
Last updated May 6th, 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 1588778708 NPPES
Other P00472474 RAILROAD MEDICARE

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