Holthaus, Andrea M
Holthaus, Andrea M is an individual health care provider with primary practice located at 3009 N Ballas Rd Ste 383C , Saint Louis MO 63131-2324. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Holthaus, Andrea M can be contacted via phone (314) 996-4545.Contact Information
Primary practice address
3009 N Ballas Rd Ste 383C
Saint Louis MO 63131-2324
Phone: (314) 996-4545
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 2004011870 | Missouri |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 2004011870 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2004011870 | Missouri |
Profile Details
| NPI number | 1528031473 |
|---|---|
| LBN Legal business name | Holthaus, Andrea M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Jun 22nd, 2021 - about 3 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 | 1528031473 | NPPES |
| Illinois | MEDICAID | 1528031473 | |
| Illinois | MEDICAID | 209226109 |
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