Holman, Craig D

Holman, Craig D is an sole proprietor health care provider with primary practice located at 496 Shoup Ave W Ste B , Twin Falls ID 83301-5043. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Holman, Craig D can be contacted via phone (208) 734-7676.

Contact Information

Primary practice address
496 Shoup Ave W Ste B Twin Falls ID 83301-5043
Phone: (208) 734-7676
Fax: (208) 736-8378
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X P119 Idaho

Profile Details

NPI number 1093924813
LBN Legal business name Holman, Craig D
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2007
Last updated Aug 3rd, 2010 - 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 1093924813 NPPES
Idaho Other 000010015646 REGENCE BLUE SHIELD OF ID
Idaho MEDICAID 002143900 REGENCE BLUE SHIELD OF ID
Idaho Other 480031477 REGENCE BLUE SHIELD OF ID
Idaho Other P2397 REGENCE BLUE SHIELD OF ID
Idaho MEDICAID 1093924813 REGENCE BLUE SHIELD OF ID
Idaho Other 4134570001 REGENCE BLUE SHIELD OF ID
Idaho Other 820491190 REGENCE BLUE SHIELD OF ID

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