Holguin, Therese Ann
Holguin, Therese Ann is an individual health care provider with primary practice located at 1490 N Turquoise Dr , Flagstaff AZ 86001-1383. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Holguin, Therese Ann can be contacted via phone (928) 774-5074.Contact Information
Primary practice address
1490 N Turquoise Dr
Flagstaff AZ 86001-1383
Phone: (928) 774-5074
Fax: (928) 779-0884
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 88-191 | New Mexico |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 19361 | Arizona |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 19361 | Arizona |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 19361 | Arizona |
Profile Details
| NPI number | 1881629376 |
|---|---|
| LBN Legal business name | Holguin, Therese Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Dec 12th, 2023 - about last year |
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 | 1881629376 | NPPES |
| Arizona | MEDICAID | 295114 | |
| Arizona | Other | 070002910 |
Popular Providers
-
Kauffman, Edward Charles
1490 N Turquoise Dr , Flagstaff AZ 86001 -
Blackhart, Bret S
640 W Moana Ln Ste 2, Reno NV 89509-4857 -
Mccallister, Robert Edward
6920 Parkdale Pl Ste 210, Indianapolis IN 46254-5611 -
Bigler, Carl Frederick
1490 N Turquoise Dr , Flagstaff AZ 86001-1383 -
Miller, Jordan J
1490 N Turquoise Dr , Flagstaff AZ 86001-1383 -
Rosenfeld, Thomas Lee
5 Neponset St , Worcester MA 01606-2714 -
Cain, Carin
1490 N Turquoise Dr , Flagstaff AZ 86001 -
John, Michael D
620 W 15Th St , Edmond OK 73013-3617