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Contact Information

JOHN M HOLMAN JR, MD
4765 S ICHABOD ST
SALT LAKE CITY, UT84117-6461
 Phone: 801-231-0842
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for JOHN M HOLMAN JR · (Male)

NPI Number 1528460607
Status Active
Credentials MD
Entity Individual
Enumeration date 09/21/2014
Last updated 09/21/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 163812-1205
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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