Holt, William Terry

Holt, William Terry is an sole proprietor health care provider with primary practice located at 657 Skyline Dr Suite A, Jackson TN 38301-3903. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Holt, William Terry can be contacted via phone (731) 427-5581.

Contact Information

Primary practice address
657 Skyline Dr Suite A Jackson TN 38301-3903
Phone: (731) 427-5581
Fax: (731) 427-8257
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 213 Tennessee

Profile Details

NPI number 1942244330
LBN Legal business name Holt, William Terry
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2006
Last updated Dec 20th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942244330 NPPES
Tennessee Other 0004174 BLUE CROSS BLUE SHIELD
Tennessee Other 4596543 BLUE CROSS BLUE SHIELD
Tennessee MEDICAID 3350858 BLUE CROSS BLUE SHIELD

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