Holtsclaw, John D
Holtsclaw, John D is an sole proprietor health care provider with primary practice located at 508 Atlantic Ave , Camden NJ 08104. He recently has only one registered license in Ambulatory Health Care Facilities / Methadone, which is considered as his primary health care specialty. Holtsclaw, John D can be contacted via phone (856) 338-1811.Contact Information
Primary practice address
508 Atlantic Ave
Camden NJ 08104
Phone: (856) 338-1811
Fax: (856) 541-0719
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Methadone | 261QM2800X | 25MA07504100 |
Profile Details
| NPI number | 1235309915 |
|---|---|
| LBN Legal business name | Holtsclaw, John D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 10th, 2008 |
| Last updated | Sep 8th, 2022 - about 3 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 | 1235309915 | NPPES |
| New Jersey | MEDICAID | 8635200 | |
| New Jersey | MEDICAID | 8648204 |
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