Provider Demographics
NPI:1356744312
Name:PATRICIA HOLOWSKO
Entity type:Organization
Organization Name:PATRICIA HOLOWSKO
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:HOLOWSKO
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:610-608-3039
Mailing Address - Street 1:401 GORDON DR STE B
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-1276
Mailing Address - Country:US
Mailing Address - Phone:610-608-3039
Mailing Address - Fax:
Practice Address - Street 1:401 GORDON DR STE B
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-1276
Practice Address - Country:US
Practice Address - Phone:610-608-3039
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-06
Last Update Date:2014-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN311051L261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service