Holtgrave, Thomas William

Holtgrave, Thomas William is an individual health care provider with primary practice located at 545 N Bus Us Hwy 65 Ste. 504, Branson MO 65616-4500. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as his primary health care specialty. Holtgrave, Thomas William can be contacted via phone (417) 335-2080.

Contact Information

Primary practice address
545 N Bus Us Hwy 65 Ste. 504 Branson MO 65616-4500
Phone: (417) 335-2080
Fax: (417) 336-3583
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 066289 Missouri

Profile Details

NPI number 1588663165
LBN Legal business name Holtgrave, Thomas William
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Nov 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588663165 NPPES
Missouri MEDICAID 423691567

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