Holt, Dorothy J.

Holt, Dorothy J. is an individual health care provider with primary practice located at 525 Couch Ave , Kirkwood MO 63122-5536. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Holt, Dorothy J. can be contacted via phone (573) 636-3483.

Contact Information

Primary practice address
525 Couch Ave Kirkwood MO 63122-5536
Phone: (573) 636-3483
Fax: (573) 636-5315
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 080214 Missouri

Profile Details

NPI number 1114980125
LBN Legal business name Holt, Dorothy J.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated May 2nd, 2008 - about 16 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 1114980125 NPPES
Missouri MEDICAID 919687251
Missouri Other P00389527

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