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MARVIN L. HOLLOMAN NPI 1164936787


NPI Information

NPI: 1164936787
Provider Name: MARVIN L. HOLLOMAN

Doing Business As: M & L MEDICAL SUPPLIES

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
425 JOLIET ST STE 125
DYER, IN
ZIP 46311
Phone: (708) 625-5681
Get Directions

MARVIN L. HOLLOMAN is a durable medical equipment medical supplies in Dyer, IN. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MARVIN L. HOLLOMAN NPI is 1164936787. The provider is registered as an organization entity type.
The provider Is Doing Business As M & L Medical Supplies.

The provider's business location address is:

425 JOLIET ST STE 125
DYER, IN
ZIP 46311-775
Phone: (708) 625-5681

The provider's authorized official is Latoya Holloman .
The authorized official title is Admin and has the following contact phone number (708) 625-5681.

The enumeration date for this NPI number is 11/17/2017 and was last updated on 11/17/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies69000690AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
169000690AMEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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