Holtmeyer, Stephanie L

Holtmeyer, Stephanie L is an sole proprietor health care provider with primary practice located at 440 E Tampa St , Springfield MO 65806-1131. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Holtmeyer, Stephanie L can be contacted via phone (417) 831-0150.

Contact Information

Primary practice address
440 E Tampa St Springfield MO 65806-1131
Phone: (417) 831-0150
Fax: (417) 865-3479
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 002489 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2019005000 Missouri

Profile Details

NPI number 1174662357
LBN Legal business name Holtmeyer, Stephanie L
Credentials MS, PA-C, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2007
Last updated Mar 8th, 2019 - about 6 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 1174662357 NPPES
Missouri MEDICAID 499799815

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