Holman, Jeremy R

Holman, Jeremy R is an individual health care provider with primary practice located at 2200 E Parrish Ave Bldg D Suite 100, Owensboro KY 42303-1449. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Holman, Jeremy R can be contacted via phone (270) 688-1770.

Contact Information

Primary practice address
2200 E Parrish Ave Bldg D Suite 100 Owensboro KY 42303-1449
Phone: (270) 688-1770
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X TC020 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 99027503A Indiana

Profile Details

NPI number 1275738197
LBN Legal business name Holman, Jeremy R
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2007
Last updated Jul 8th, 2013 - about 11 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 1275738197 NPPES
Other 000000526456 ANTHEM

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