Holder, Madonna
Holder, Madonna is an individual health care provider with primary practice located at 121 Dekalb Ave , Brooklyn NY 11201. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Holder, Madonna can be contacted via phone (718) 250-8521.Contact Information
Primary practice address
121 Dekalb Ave
Brooklyn NY 11201
Phone: (718) 250-8521
Fax: (718) 250-6509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | F000088 | New York |
Profile Details
| NPI number | 1104988849 |
|---|---|
| LBN Legal business name | Holder, Madonna |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2006 |
| Last updated | Apr 14th, 2008 - about 17 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 | 1104988849 | NPPES |
| New York | MEDICAID | 01859723 |
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