Holden, Viran Roger
Holden, Viran Roger is an individual health care provider with primary practice located at 802 E Highway 60 , Monett MO 65708-9311. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Holden, Viran Roger can be contacted via phone (417) 882-4880.Contact Information
Primary practice address
802 E Highway 60
Monett MO 65708-9311
Phone: (417) 882-4880
Fax: (417) 882-7843
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 2005014684 | Missouri |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 2005014684 | Missouri |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | E-7162 | Arkansas |
Profile Details
| NPI number | 1912049362 |
|---|---|
| LBN Legal business name | Holden, Viran Roger |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Dec 29th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912049362 | NPPES |
| Missouri | MEDICAID | 207380809 | |
| Missouri | MEDICAID | 158396001 | |
| Missouri | Other | 83340 | |
| Missouri | Other | 2019944 | |
| Missouri | Other | 83340 |
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