Holden, Michael D

Holden, Michael D is an individual health care provider with primary practice located at Broardway At 11Th Street , Quincy IL 62350-7005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Holden, Michael D can be contacted via phone (217) 223-8400.

Contact Information

Primary practice address
Broardway At 11Th Street Quincy IL 62350-7005
Phone: (217) 223-8400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M6837 Idaho
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036118552 Illinois

Profile Details

NPI number 1558366088
LBN Legal business name Holden, Michael D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Nov 7th, 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 1558366088 NPPES
Idaho Other 000010001024 REGENCE BLUE SHIELD OF ID
Idaho MEDICAID 003729600 REGENCE BLUE SHIELD OF ID
Idaho Other 72942 REGENCE BLUE SHIELD OF ID

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