Holmes, Jed D

Holmes, Jed D is an individual health care provider with primary practice located at 7111 E 21St Street N Suite A, Wichita KS 67206. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Holmes, Jed D can be contacted via phone (316) 684-2851.

Contact Information

Primary practice address
7111 E 21St Street N Suite A Wichita KS 67206
Phone: (316) 684-2851
Fax: (316) 686-7338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 04-18241 Kansas

Profile Details

NPI number 1033111331
LBN Legal business name Holmes, Jed D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Oct 16th, 2012 - about 12 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 1033111331 NPPES
Kansas Other 80186351 RAILROAD MEDICARE
Kansas Other 110718 RAILROAD MEDICARE
Kansas Other 101601 RAILROAD MEDICARE
Kansas MEDICAID 100084320B RAILROAD MEDICARE
Kansas Other 101601 RAILROAD MEDICARE
Kansas Other 621541 RAILROAD MEDICARE
Kansas MEDICAID 100416440A RAILROAD MEDICARE

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