Shawn Holloway
Driver in Marion, OH. Individual provider (NPI-1).
NPI number1619708005
StatusActive
Last updated in NPPESAug 8, 2024
Details
- NPI
- 1619708005
- Entity type
- Individual (NPI-1)
- Name
- Shawn Holloway
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 8, 2024
- Certification date
- Aug 8, 2024
- Last updated
- Aug 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | RP037648 | OH | Yes |
Practice location
475 Claridon AveMarion, OH 43302-5603
Phone 740-360-8171
Mailing address
475 Claridon AveMarion, OH 43302-5603
Phone 740-360-8171
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