Holzer, Phillip J

Holzer, Phillip J is an individual health care provider with primary practice located at 1330 Coshocton Ave , Mount Vernon OH 43050. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Holzer, Phillip J can be contacted via phone (740) 393-9000.

Contact Information

Primary practice address
1330 Coshocton Ave Mount Vernon OH 43050
Fax: (740) 392-0167
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2764 Wisconsin
Eye and Vision Services Providers / Optometrist 152W00000X OPT006518 Ohio

Profile Details

NPI number 1447239264
LBN Legal business name Holzer, Phillip J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Mar 16th, 2021 - about 4 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 1447239264 NPPES
Wisconsin MEDICAID 38606500

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