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Individual
DR. ALLEN J HOLMES
Active
Individual
DR. ALLEN J HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
200500319
NC
207P00000X
Emergency Medicine Physician
22253
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952441842
CHAMPUS
NC
05
—
1952441842
—
WV
05
—
2795855
—
OH
05
—
5900923
—
NC
05
—
7100040000
—
KY
01
—
P00387855
MEDICARE-RR PROVIDER NUMBER
WV
01
—
P01165075
RAILROAD MEDICARE
NC
Enumeration date
02/08/2007
Last updated
08/30/2023
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