Holthaus, Jean A

Holthaus, Jean A is an individual health care provider with primary practice located at 4015 Executive Park Dr Ste 406, Cincinnati OH 45241-4017. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Holthaus, Jean A can be contacted via phone (513) 569-6747.

Contact Information

Primary practice address
4015 Executive Park Dr Ste 406 Cincinnati OH 45241-4017
Phone: (513) 569-6747
Fax: (513) 569-6988
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X NP-06838 Ohio

Profile Details

NPI number 1619929437
LBN Legal business name Holthaus, Jean A
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Nov 30th, 2007 - about 17 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 1619929437 NPPES
Ohio MEDICAID 2592494
Ohio Other P00287513

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