Holtkamp, Susan J
Holtkamp, Susan J is an individual health care provider with primary practice located at 5409 Avenue O , Fort Madison IA 52627-9601. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Holtkamp, Susan J can be contacted via phone (319) 376-2134.Contact Information
Primary practice address
5409 Avenue O
Fort Madison IA 52627-9601
Phone: (319) 376-2134
Fax: (319) 376-2188
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | C134848 | Iowa |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 364SP0200X | C134848 | Iowa |
Profile Details
| NPI number | 1508820473 |
|---|---|
| LBN Legal business name | Holtkamp, Susan J |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2006 |
| Last updated | Oct 12th, 2023 - about last year |
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 | 1508820473 | NPPES |
| Missouri | Other | 185413 | BLUE CHOICE |
| Missouri | Other | P00805205 | BLUE CHOICE |
| Missouri | Other | 185413 | BLUE CHOICE |
| Missouri | Other | 739476 | BLUE CHOICE |
| Missouri | Other | 431560263 | BLUE CHOICE |
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