Holthaus, Brandy
Holthaus, Brandy is an individual health care provider with primary practice located at 180 S 3Rd St Ste 104 , Belleville IL 62220-1952. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Holthaus, Brandy can be contacted via phone (618) 222-4701.Contact Information
Primary practice address
180 S 3Rd St Ste 104
Belleville IL 62220-1952
Phone: (618) 222-4701
Fax: (618) 222-4754
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209011418 | Illinois |
Profile Details
| NPI number | 1972922953 |
|---|---|
| LBN Legal business name | Holthaus, Brandy |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2014 |
| Last updated | May 5th, 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.
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