Holzem, Katherine Marie

Holzem, Katherine Marie is an individual health care provider with primary practice located at 1020 N Mason Rd Div Surg Vascular, Ste 225, Saint Louis MO 63141-6666. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is her primary health care specialty. Holzem, Katherine Marie can be contacted via phone (314) 273-7373.

Contact Information

Primary practice address
1020 N Mason Rd Div Surg Vascular, Ste 225 Saint Louis MO 63141-6666
Fax: (888) 840-6225
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2022038986 Missouri
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 2022038986 Missouri

Profile Details

NPI number 1861912529
LBN Legal business name Holzem, Katherine Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2017
Last updated Apr 25th, 2024 - about 5 months 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 1861912529 NPPES
Missouri MEDICAID 200062938

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