Holt, Roxane
Holt, Roxane is an individual health care provider with primary practice located at 1890 Silver Cross Blvd Ste 310 , New Lenox IL 60451-9623. She recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as her primary health care specialty. Holt, Roxane can be contacted via phone (630) 545-3612.Contact Information
Primary practice address
1890 Silver Cross Blvd Ste 310
New Lenox IL 60451-9623
Phone: (630) 545-3612
Fax: (630) 348-3339
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 036.140688 | Illinois |
Profile Details
NPI number | 1790988905 |
---|---|
LBN Legal business name | Holt, Roxane |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 6th, 2007 |
Last updated | Aug 8th, 2023 - about last year |
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 | 1790988905 | NPPES |
Texas | MEDICAID | 194732704 |
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