Holsten, Raymond Lee

Holsten, Raymond Lee is an individual health care provider with primary practice located at 467 Vista Avenue , Page AZ 86040-1625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Holsten, Raymond Lee can be contacted via phone (928) 645-8123.

Contact Information

Primary practice address
467 Vista Avenue Page AZ 86040-1625
Phone: (928) 645-8123
Fax: (928) 645-3862
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21867 Arizona

Profile Details

NPI number 1003810540
LBN Legal business name Holsten, Raymond Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Dec 10th, 2010 - about 15 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 1003810540 NPPES
Arizona MEDICAID 145989

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