Holman, Wilton Russell
Holman, Wilton Russell is an individual health care provider with primary practice located at 701 Princeton Ave Sw , Birmingham AL 35211-1303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Holman, Wilton Russell can be contacted via phone (205) 783-3000.Contact Information
Primary practice address
701 Princeton Ave Sw
Birmingham AL 35211-1303
Phone: (205) 783-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 20544 | Alabama |
Profile Details
| NPI number | 1750386942 |
|---|---|
| LBN Legal business name | Holman, Wilton Russell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Dec 30th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750386942 | NPPES |
| Alabama | MEDICAID | 122606 | |
| Alabama | Other | 515-39411 | |
| Alabama | Other | 300113603 | |
| Alabama | Other | 515-94523 | |
| Alabama | Other | 511-56374 | |
| Alabama | Other | 7575354 | |
| Alabama | Other | 511-09727 | |
| Alabama | MEDICAID | 000055398 | |
| Alabama | MEDICAID | 105489 | |
| Alabama | MEDICAID | 169815 | |
| Alabama | Other | 510-55398 | |
| Alabama | MEDICAID | 009941749 |
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