Holland, Kristy L

Holland, Kristy L is an sole proprietor health care provider with primary practice located at 211 S 3Rd St , Belleville IL 62220-1915. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Holland, Kristy L can be contacted via phone (618) 234-2120.

Contact Information

Primary practice address
211 S 3Rd St Belleville IL 62220-1915
Phone: (618) 234-2120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-112397 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-112397 Illinois

Profile Details

NPI number 1255363420
LBN Legal business name Holland, Kristy L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2006
Last updated Oct 29th, 2015 - about 10 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 1255363420 NPPES
Illinois Other 0008232153 BLUECROSS BLUESHIELD
Illinois Other 06032182 BLUECROSS BLUESHIELD
Illinois MEDICAID 036112397 BLUECROSS BLUESHIELD
Illinois Other 08232204 BLUECROSS BLUESHIELD
Illinois Other 08232205 BLUECROSS BLUESHIELD

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