Holt, Tina M
Holt, Tina M is an individual health care provider with primary practice located at 65 Messimer Dr , Newark OH 43055-1874. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Holt, Tina M can be contacted via phone (740) 522-8477.Contact Information
Primary practice address
65 Messimer Dr
Newark OH 43055-1874
Phone: (740) 522-8477
Fax: (740) 788-3424
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ICDC.892560 | Ohio |
Profile Details
| NPI number | 1730455106 |
|---|---|
| LBN Legal business name | Holt, Tina M |
| Credentials | LICDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2012 |
| Last updated | Mar 29th, 2012 - 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 | 1730455106 | NPPES |
| Ohio | MEDICAID | 2485734 |
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