Holbrook, Todd R

Holbrook, Todd R is an individual health care provider with primary practice located at 619 Dalton St , Emmaus PA 18049-3031. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Holbrook, Todd R can be contacted via phone (610) 628-8200.

Contact Information

Primary practice address
619 Dalton St Emmaus PA 18049-3031
Phone: (610) 628-8200
Fax: (610) 965-6595
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD063546L Pennsylvania

Profile Details

NPI number 1245231844
LBN Legal business name Holbrook, Todd R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Sep 7th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245231844 NPPES
Pennsylvania MEDICAID 001711286004

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