Holt, Charles Reed

Holt, Charles Reed is an sole proprietor health care provider with primary practice located at 2026 N Main St , Davenport IA 52803-2911. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Holt, Charles Reed can be contacted via phone (515) 537-0326.

Contact Information

Primary practice address
2026 N Main St Davenport IA 52803-2911
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 02981 Iowa
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4350 Oklahoma

Profile Details

NPI number 1477638005
LBN Legal business name Holt, Charles Reed
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2006
Last updated Aug 14th, 2009 - 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 1477638005 NPPES
Iowa MEDICAID 1477638005
Iowa MEDICAID 6131490
Iowa Other 1477638005

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