Holton, Jared T

Holton, Jared T is an individual health care provider with primary practice located at 6800 State Route 162 , Maryville IL 62062-8500. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Holton, Jared T can be contacted via phone (800) 281-3903.

Contact Information

Primary practice address
6800 State Route 162 Maryville IL 62062-8500
Phone: (800) 281-3903
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209.017838 Illinois

Profile Details

NPI number 1194210393
LBN Legal business name Holton, Jared T
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2018
Last updated Jun 29th, 2018 - 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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