Holland, John R
Holland, John R is an individual health care provider with primary practice located at 3043 Ne 28Th Street , Lincoln City OR 97367-9540. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Holland, John R can be contacted via phone (541) 996-7118.Contact Information
Primary practice address
3043 Ne 28Th Street
Lincoln City OR 97367-9540
Phone: (541) 996-7118
Fax: (541) 996-7378
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 1948 | Tennessee |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 200400681 | North Carolina |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | DO172963 | Oregon |
Profile Details
| NPI number | 1679675854 |
|---|---|
| LBN Legal business name | Holland, John R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2006 |
| Last updated | Feb 14th, 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 | 1679675854 | NPPES |
| North Carolina | MEDICAID | 891362Y | |
| North Carolina | MEDICAID | 1679675854 |
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