Holtan, Shernan G
Holtan, Shernan G is an individual health care provider with primary practice located at 909 Fulton St Se , Minneapolis MN 55455-4800. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Hematology is her primary health care specialty. Holtan, Shernan G can be contacted via phone (612) 625-3600.Contact Information
Primary practice address
909 Fulton St Se
Minneapolis MN 55455-4800
Phone: (612) 625-3600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 46758 | Minnesota |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | MD154732 | Oregon |
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | 46758 | Minnesota |
Profile Details
| NPI number | 1780664284 |
|---|---|
| LBN Legal business name | Holtan, Shernan G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Jan 18th, 2024 - about 8 months 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 | 1780664284 | NPPES |
| Minnesota | MEDICAID | 530002900 | |
| Minnesota | MEDICAID | 35177800 | |
| Minnesota | Other | P00639250 | |
| Minnesota | MEDICAID | ENROLLED |
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