Individual
MICHAEL P HOLLIDAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
RT 2 BOX 120F, PHILIPPI, WV 26416
(304) 457-1757
(304) 457-1757
Mailing address
RT 2 BOX 120F, PHILIPPI, WV 26416
(304) 457-1757
(304) 457-1757
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1343
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0157575000
—
WV
Enumeration date
03/20/2007
Last updated
04/22/2008
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