We refer to it as kew-bee-cuttle

In Voyager, he’s shown to have pips. In fact, switching him over to Command mode shows a deliberate animation of pips showing up on hid collar.

The EMH is never shown with pips on Voyager. The “ECH” was shown with pips appearing on its first appearance, however:

The only other time the ECH mode was used in a genuine emergency (Season 7, Episodes 16/17), he did not have pips.

There was an entire TNG episode (Season 6, Episode 12) whose plot centered around this:

Geordi and Data spent half the episode experimenting with beaming (inanimate) holographic objects off the holodeck, to no avail. With that said:

Nah, the SWAT would have to arrest themselves.

Even without an official rank, on Voyager he was still considered a Department Head and (more importantly) the CMO, which gave significant authority (even exceeding the Captain on certain medical matters), regardless of whether or not he was ever given any pips. The same thing would likely apply on subsequent postings.

If he ever had to be assigned a rank for clerical/administrative purposes, it would probably be the default required rank for a Starfleet CMO candidate for the class of ship he was serving on.

A few thousand years later, Ed decides to create 20 18 superhuman clones of himself, and things start to get pretty grimdark.

I think you’ll find the holodeck is the cause of (and occasionally the solution to) most Trek problems.

FUCK

Also the recent SNW crossover where she >!is thirsting over young Spock!<.