Holt, John Robert
Holt, John Robert is an sole proprietor health care provider with primary practice located at 2309 York Ave , Lubbock TX 79407-2286. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Dental Providers / Dentist Anesthesiologist. Dental Providers / Dentist Anesthesiologist is his primary health care specialty. Holt, John Robert can be contacted via phone (806) 783-0520.Contact Information
Primary practice address
2309 York Ave
Lubbock TX 79407-2286
Phone: (806) 783-0520
Fax: (806) 783-0674
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 15567 | Texas |
| Dental Providers / Dentist Anesthesiologist | 1223D0004X | 15567 | Texas |
Profile Details
| NPI number | 1336125384 |
|---|---|
| LBN Legal business name | Holt, John Robert |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2005 |
| Last updated | Nov 19th, 2013 - about 12 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 | 1336125384 | NPPES |
| Texas | MEDICAID | 0902165 | |
| Texas | Other | 75-2277547 | |
| Texas | Other | K53H |
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