Holthouse, Mark E.
Holthouse, Mark E. is an sole proprietor health care provider with primary practice located at 3104 Ponte Morino Drive Ste 110, Cameron Park CA 95682. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Holthouse, Mark E. can be contacted via phone (530) 676-1003.Contact Information
Primary practice address
3104 Ponte Morino Drive Ste 110
Cameron Park CA 95682
Phone: (530) 676-1003
Fax: (530) 676-7350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G757170 | California |
Profile Details
| NPI number | 1740217207 |
|---|---|
| LBN Legal business name | Holthouse, Mark E. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Dec 3rd, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740217207 | NPPES |
| California | MEDICAID | GR0070790 |
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