Brent Holloway
Case Manager/Care Coordinator in Idaho Falls, ID. Individual provider (NPI-1).
NPI number1265051171
StatusActive
Last updated in NPPESApr 10, 2020
Details
- NPI
- 1265051171
- Entity type
- Individual (NPI-1)
- Name
- Brent Holloway
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2020
- Certification date
- Apr 10, 2020
- Last updated
- Apr 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
1301 E 17th StIdaho Falls, ID 83404-6273
Phone 208-538-3122
Mailing address
1995 E 17th StIdaho Falls, ID 83404-6493
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Case Manager/Care Coordinator providers in Idaho Falls, ID
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- Kristen AldersonNPI 1992675821
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- Cola AndersonNPI 1083584908
- Shanda AndrusNPI 1831069772
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- Christopher AustinNPI 1952271876
- Sean BachmanNPI 1679405617
- Patricia Bahena OcampoNPI 1114887874
All 76 Case Manager/Care Coordinator providers in Idaho Falls · All 3,646 providers in Idaho Falls
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