Holl, Jennifer Samples
Holl, Jennifer Samples is an sole proprietor health care provider with primary practice located at 1921 Waldemere St , Sarasota FL 34239-2943. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is her primary health care specialty. Holl, Jennifer Samples can be contacted via phone (941) 261-1400.Contact Information
Primary practice address
1921 Waldemere St
Sarasota FL 34239-2943
Phone: (941) 261-1400
Fax: (941) 308-8420
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2018-01719 | North Carolina |
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | ME162888 | Florida |
Profile Details
NPI number | 1336460922 |
---|---|
LBN Legal business name | Holl, Jennifer Samples |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 17th, 2010 |
Last updated | Jun 12th, 2023 - about 2 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 | 1336460922 | NPPES |
North Carolina | MEDICAID | 1336460922 |
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