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Contact Information

MICKEL A HOLMAN, PA
207 DAVENPORT
MER ROUGE, LA71261
 Phone: 318-647-3412
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MICKEL A HOLMAN · (Male)

NPI Number 1508932450
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 11/24/2006
Last updated 02/29/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # PA200114
  • LA Other PA.200114 LICENSE NUMBER
Hospital affiliation(s)
  • MOREHOUSE GENERAL HOSPITAL - (Acute Care)
    323 W WALNUT
    BASTROP, LA 71220
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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