Holt, Douglas S
Holt, Douglas S is an individual health care provider with primary practice located at 1604 Visa Dr Ste 1 , Normal IL 61761-2195. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. Holt, Douglas S can be contacted via phone (309) 846-4716.Contact Information
Primary practice address
1604 Visa Dr Ste 1
Normal IL 61761-2195
Phone: (309) 846-4716
Fax: (309) 454-7348
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Surgical Assistant | 246ZC0007X | 237000196 | Illinois |
Profile Details
| NPI number | 1538714191 |
|---|---|
| LBN Legal business name | Holt, Douglas S |
| Credentials | Certified Surgical Technologist (CST) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2019 |
| Last updated | Sep 12th, 2019 - about 5 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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