Holder, Jacqueline
Holder, Jacqueline is an individual health care provider with primary practice located at 221 S 6Th St , Terre Haute IN 47807-4214. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Holder, Jacqueline can be contacted via phone (812) 242-3105.Contact Information
Primary practice address
221 S 6Th St
Terre Haute IN 47807-4214
Phone: (812) 242-3105
Fax: (812) 242-3133
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 02002477A | Indiana |
Profile Details
| NPI number | 1144338781 |
|---|---|
| LBN Legal business name | Holder, Jacqueline |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Aug 18th, 2010 - about 14 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 | 1144338781 | NPPES |
| Other | 000000224510 | ANTHEM | |
| MEDICAID | 200373360 | ANTHEM |
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