Holland, Mark John

Holland, Mark John is an individual health care provider with primary practice located at 2301 San Pedro Dr Ne Suite B, Albuquerque NM 87110-4119. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Holland, Mark John can be contacted via phone (505) 232-6818.

Contact Information

Primary practice address
2301 San Pedro Dr Ne Suite B Albuquerque NM 87110-4119
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 91 65 New Mexico

Profile Details

NPI number 1346400181
LBN Legal business name Holland, Mark John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2008
Last updated Nov 12th, 2012 - about 14 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 1346400181 NPPES
New Mexico Other 91-65 NEW MEXICO MEDICAL BOARD LICENSE NUMBER

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