Holtz, Deitdre A

Holtz, Deitdre A is an individual health care provider with primary practice located at 1234 Empire St , Fairfield CA 94533-5711. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Holtz, Deitdre A can be contacted via phone (707) 372-9083.

Contact Information

Primary practice address
1234 Empire St Fairfield CA 94533-5711
Phone: (707) 372-9083
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1205168986
LBN Legal business name Holtz, Deitdre A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2010
Last updated May 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205168986 NPPES
Other A23468 CERTIFIED CRIMINAL JUSTICE SPECIALIST

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