Lundholm, Joanne Katherine

Lundholm, Joanne Katherine is an individual health care provider with primary practice located at 110 Rehill Ave , Somerville NJ 08876-2519. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lundholm, Joanne Katherine can be contacted via phone (908) 685-2900.

Contact Information

Primary practice address
110 Rehill Ave Somerville NJ 08876-2519
Fax: (908) 203-5964
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA08059200 New Jersey

Profile Details

NPI number 1366516544
LBN Legal business name Lundholm, Joanne Katherine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Apr 7th, 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 1366516544 NPPES
New Jersey MEDICAID 0185644

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