Holt, Paige C.
Holt, Paige C. is an sole proprietor health care provider with primary practice located at 2502 E Empire St Suite C, Bloomington IL 61704-3738. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Holt, Paige C. can be contacted via phone (309) 664-4444.Contact Information
Primary practice address
2502 E Empire St Suite C
Bloomington IL 61704-3738
Phone: (309) 664-4444
Fax: (309) 664-5006
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 036116185 | Illinois |
Profile Details
| NPI number | 1821026519 |
|---|---|
| LBN Legal business name | Holt, Paige C. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Feb 25th, 2014 - about 10 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 | 1821026519 | NPPES |
| Illinois | MEDICAID | 036116185 |
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