Holland, David M

Holland, David M is an individual health care provider with primary practice located at 2355 Poplar Level Rd Ste. 200-A, Louisville KY 40217-1395. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Holland, David M can be contacted via phone (502) 636-7444.

Contact Information

Primary practice address
2355 Poplar Level Rd Ste. 200-A Louisville KY 40217-1395
Fax: (502) 636-7340
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 16256 Kentucky

Profile Details

NPI number 1265498992
LBN Legal business name Holland, David M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Jul 12th, 2016 - about 8 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 1265498992 NPPES
Kentucky Other 000000350759 ANTHEM / NCMA
Kentucky Other 047927 ANTHEM / NCMA
Kentucky Other 2446878000 ANTHEM / NCMA
Kentucky Other 2542519 ANTHEM / NCMA
Kentucky MEDICAID 64162563 ANTHEM / NCMA
Kentucky MEDICAID 200510840 ANTHEM / NCMA
Kentucky Other 50005575 ANTHEM / NCMA
Kentucky Other 0000284121 ANTHEM / NCMA
Kentucky Other P00181534 ANTHEM / NCMA

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