Holon Health Great Lakes, P.C.

LBN: Holon Health Great Lakes, P.C.
Holon Health Great Lakes, P.C. is an health care organization with primary practice located at 4433 E Broadway Blvd Ste 101 , Tucson AZ 85711-3536. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Holon Health Great Lakes, P.C. can be contacted via phone (877) 465-6650, or through Herzog, Jason via phone (804) 955-5246.

Contact Information

Primary practice address
4433 E Broadway Blvd Ste 101 Tucson AZ 85711-3536
Phone: (877) 465-6650
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Herzog, Jason
Phone: (804) 955-5246

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1194414805
LBN Legal business name Holon Health Great Lakes, P.C.
DBA Doing business as
Authorized official Herzog, Jason
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2023
Last updated Jul 17th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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