Holden, John Patrick

Holden, John Patrick is an individual health care provider with primary practice located at 1221 E State St Suite 9, Rockford IL 61104-2231. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Holden, John Patrick can be contacted via phone (815) 972-1000.

Contact Information

Primary practice address
1221 E State St Suite 9 Rockford IL 61104-2231
Phone: (815) 972-1000
Fax: (815) 972-1086
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036-086824 Illinois
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036086824 Illinois

Profile Details

NPI number 1992856892
LBN Legal business name Holden, John Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Dec 9th, 2013 - about 11 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 1992856892 NPPES
Illinois MEDICAID 036086824

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