Holland, Courtney Allen
Holland, Courtney Allen is an individual health care provider with primary practice located at 3512 S Lafountain St , Kokomo IN 46902-3803. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Holland, Courtney Allen can be contacted via phone (765) 776-3100.Contact Information
Primary practice address
3512 S Lafountain St
Kokomo IN 46902-3803
Phone: (765) 776-3100
Fax: (765) 453-8165
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 01075640A | Indiana |
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery | 207XP3100X | 01075640A | Indiana |
Profile Details
NPI number | 1598819278 |
---|---|
LBN Legal business name | Holland, Courtney Allen |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 22nd, 2007 |
Last updated | Jan 2nd, 2024 - about 11 months 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 | 1598819278 | NPPES |
Indiana | MEDICAID | 201348570 | |
Indiana | Other | P01824484 |
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