Provider Demographics
NPI:1639352941
Name:STEVEN E. HOLROYD, MD, LLC
Entity Type:Organization
Organization Name:STEVEN E. HOLROYD, MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:E
Authorized Official - Last Name:HOLROYD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-354-2555
Mailing Address - Street 1:PO BOX 51120
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89435-1120
Mailing Address - Country:US
Mailing Address - Phone:775-354-2555
Mailing Address - Fax:775-354-2557
Practice Address - Street 1:2470 WRONDEL WAY
Practice Address - Street 2:SUITE 120
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-3701
Practice Address - Country:US
Practice Address - Phone:775-354-2555
Practice Address - Fax:775-354-2557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-10
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV91932084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100503921Medicaid
NV100503921Medicaid