Holder, Kevin D
Holder, Kevin D is an sole proprietor health care provider with primary practice located at 5 Stanley Rd , South Orange NJ 07079-2721. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Holder, Kevin D can be contacted via phone (973) 762-6077.Contact Information
Primary practice address
5 Stanley Rd
South Orange NJ 07079-2721
Phone: (973) 762-6077
Fax: (973) 762-4331
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25MA04662500 | New Jersey |
Profile Details
| NPI number | 1063543254 |
|---|---|
| LBN Legal business name | Holder, Kevin D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Mar 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063543254 | NPPES |
| New Jersey | Other | 020614591 | TAX ID |
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