Dwight Holden, Md

LBN: Dwight Holden Md Fapa Inc.
Dwight Holden, Md is an health care organization with primary practice located at 3 East Golden Eagle Rd. , Santa Fe NM 87506-8223. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Dwight Holden Md Fapa Inc. can be contacted via phone (505) 988-7476, or through Holden, Larry Dwight via phone (505) 988-7476.

Contact Information

Primary practice address
3 East Golden Eagle Rd. Santa Fe NM 87506-8223
Phone: (505) 988-7476
Fax: (505) 986-6453
Website:
Map and Directions
Authorized official contact:
Name: Holden, Larry Dwight Doctor of Medicine (MD)
Phone: (505) 988-7476

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 16440 Oklahoma

Profile Details

NPI number 1427163807
LBN Legal business name Dwight Holden Md Fapa Inc.
DBA Doing business as Dwight Holden, Md
Authorized official Holden, Larry Dwight Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2006
Last updated Jul 12th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427163807 NPPES
Oklahoma MEDICAID 10047270A MEDICAID PROVIDER ID
Oklahoma Other 1033133384 MEDICAID PROVIDER ID

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