Tamis-Holland, Jacqueline

Tamis-Holland, Jacqueline is an individual health care provider with primary practice located at 9500 Euclid Avenue J-209, Cleveland OH 44195. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is her primary health care specialty. Tamis-Holland, Jacqueline can be contacted via phone (216) 444-2829.

Contact Information

Primary practice address
9500 Euclid Avenue J-209 Cleveland OH 44195
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 186575 New York
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 35.147213 Ohio

Profile Details

NPI number 1578557179
LBN Legal business name Tamis-Holland, Jacqueline
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Mar 7th, 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 1578557179 NPPES
New York MEDICAID 01756014

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