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Contact Information

SHARON K HOLY, PT
1351 WISCONSIN RIVER DR
PORT EDWARDS, WI54469-1041
 Phone: 715-885-8300
 Fax: 715-885-8350
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for SHARON K HOLY · (Female)

NPI Number 1649450222
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 11/12/2007
Last updated 11/12/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 2281-024
  • WI Medicaid 40155200
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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