Holman, Jason Grant

Holman, Jason Grant is an individual health care provider with primary practice located at University Of Missouri Hospital 1 Hospital Dr Dc032.00 , Columbia MO 65212-5822. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Holman, Jason Grant can be contacted via phone (573) 882-2100.

Contact Information

Primary practice address
University Of Missouri Hospital 1 Hospital Dr Dc032.00 Columbia MO 65212-5822
Phone: (573) 882-2100
Fax: (573) 884-6109
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X N0102 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X T2004016534 Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X N0102 Texas
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 2020019644 Missouri

Profile Details

NPI number 1912009861
LBN Legal business name Holman, Jason Grant
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Jun 15th, 2021 - about 5 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 1912009861 NPPES
Texas Other TIN PLUS SUFFIX 001 TRICARE
Texas MEDICAID 195606204 TRICARE
Texas Other 75-0818167-048 TRICARE
Texas Other 8CS941 TRICARE
Texas Other TIN PLUS 028 TRICARE
Texas MEDICAID 195606202 TRICARE
Texas MEDICAID 195606203 TRICARE
Texas Other 75-0818167-015 TRICARE
Texas Other 750818167044 TRICARE
Texas Other 8CM273 TRICARE
Texas Other TIN PLUS 002 TRICARE
Texas Other 751976930005 TRICARE
Texas Other 8BC073 TRICARE
Texas Other 8CM740 TRICARE
Texas Other TIN PLUS 022 TRICARE
Texas MEDICAID 195606201 TRICARE

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