Holdiman, Dale R

Holdiman, Dale R is an individual health care provider with primary practice located at 624 Jones St Ste 5400, Sioux City IA 51105-1924. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Holdiman, Dale R can be contacted via phone (712) 279-2510.

Contact Information

Primary practice address
624 Jones St Ste 5400 Sioux City IA 51105-1924
Phone: (712) 279-2510
Fax: (712) 279-2519
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20689 Iowa

Profile Details

NPI number 1306894050
LBN Legal business name Holdiman, Dale R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Oct 17th, 2007 - about 18 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 1306894050 NPPES
Iowa MEDICAID 100251443-00
Iowa MEDICAID 7782140
Iowa MEDICAID 3164657
Iowa Other 36901

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