Holtz, Jan L.

Holtz, Jan L. is an individual health care provider with primary practice located at 1500 Northway Drive Suite 1, Saint Cloud MN 56303-1218. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Holtz, Jan L. can be contacted via phone (320) 253-4321.

Contact Information

Primary practice address
1500 Northway Drive Suite 1 Saint Cloud MN 56303-1218
Phone: (320) 253-4321
Fax: (320) 240-8525
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X Minnesota

Profile Details

NPI number 1699882217
LBN Legal business name Holtz, Jan L.
Credentials PH.D., L.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Jul 9th, 2007 - about 17 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 1699882217 NPPES
Minnesota Other 1014236 PREFERRED ONE PROVIDER NU
Minnesota Other 28Q49CE PREFERRED ONE PROVIDER NU
Minnesota Other 6130168 PREFERRED ONE PROVIDER NU
Minnesota Other 115380 PREFERRED ONE PROVIDER NU
Minnesota Other 28Q24HO PREFERRED ONE PROVIDER NU
Minnesota Other 92189 PREFERRED ONE PROVIDER NU

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