Eugene Paul Holmes in Blue Island - Clinical

Eugene Paul Holmes - NPI 1790861664

Eugene Paul Holmes is a Clinical in Blue Island, Illinois. Eugene Paul Holmes practices all healthcare services and medical treatments related to Clinical. The NPI Number for Eugene Paul Holmes is 1790861664. The last update date is 2010-07-30.

Eugene Paul Holmes's current location address is P. O. Box 747, Blue Island, Illinois. You can contact this provider via phone number 7084037570 and fax number 7084037546. The mailing address for Eugene Paul Holmes is P. O. Box 747, Blue Island, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Eugene Paul Holmes
Address P. O. Box 747, Blue Island, Illinois
Phone Number 7084037570
Fax Number 7084037546
Sole Proprietor N
Credentials PSY.D.

NPI Number Detail

NPI Number 1790861664
Provider Enumeration Date 2006-10-31
Last Updated Date 2010-07-30

Provider Mailing Address Detail

Address P. O. Box 747
City Blue Island
State Illinois (IL)
Post Code 604061125
Phone Number 7084037570
Fax Number 7084037546

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 71005108
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
279826000 IL MAGELLAN HEALTH SERVICES
1634764 IL BCBSIL

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FAQs about Eugene Paul Holmes

What is the unique 10-digit identifier code issued to Eugene Paul Holmes by the Centers for Medicare & Medicaid Services?

The Eugene Paul Holmes has been assigned the NPI (National Provider Identifier) 1790861664 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Eugene Paul Holmes's facilities are geographically located?

The facilities of Eugene Paul Holmes are physically situated at the following location: P. O. Box 747, Blue Island, IL, 604061125.

What is Eugene Paul Holmes's specialized field of practice, and what is the corresponding taxonomy classification code?

The Eugene Paul Holmes's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1790861664 to Eugene Paul Holmes?

The Eugene Paul Holmes received its 1790861664 assignment from the Centers for Medicare & Medicaid Services on 2006-10-31.

As of what date was the information pertaining to Eugene Paul Holmes, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Eugene Paul Holmes, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-07-30.

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