Holst, David Glenn
Holst, David Glenn is an individual health care provider with primary practice located at 824 Pine St , Mount Shasta CA 96067-2137. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Holst, David Glenn can be contacted via phone (530) 926-4528.Contact Information
Primary practice address
824 Pine St
Mount Shasta CA 96067-2137
Phone: (530) 926-4528
Fax: (530) 926-5070
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G76027 | California |
Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | G76027 | California |
Profile Details
NPI number | 1164416764 |
---|---|
LBN Legal business name | Holst, David Glenn |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 9th, 2005 |
Last updated | Sep 19th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1164416764 | NPPES |
Other | 080080840 | RAILROAD MEDICARE | |
MEDICAID | 00G760270 | RAILROAD MEDICARE |
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