David C Holden is a Family Medicine in Peoria, Illinois. David C Holden practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for David C Holden is 1720094816. The last update date is 2015-07-16.
David C Holden's current location address is 2321 N Wisconsin Ave, Peoria, Illinois. You can contact this provider via phone number 3096807600 and fax number 3096818620. The mailing address for David C Holden is 2321 N Wisconsin Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David C Holden |
|---|---|
| Address | 2321 N Wisconsin Ave, Peoria, Illinois |
| Phone Number | 3096807600 |
| Fax Number | 3096818620 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1720094816 |
|---|---|
| Provider Enumeration Date | 2006-07-31 |
| Last Updated Date | 2015-07-16 |
Provider Mailing Address Detail
| Address | 2321 N Wisconsin Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616035613 |
| Phone Number | 3096807600 |
| Fax Number | 3096818620 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36049167 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7215059 | IL | BCBS PPO | |
| IL01K5 | IL | JOHN DEERE | |
| 10788 | IL | HEALTH ALLIANCE | |
| 360491673 | IL | -- | |
| 80195132 | IL | RAILROAD MEDICARE | |
| 253462 | IL | HEALTHLINK |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to David C Holden by the Centers for Medicare & Medicaid Services?
The David C Holden has been assigned the NPI (National Provider Identifier) 1720094816 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the David C Holden's physical address?
The David C Holden is physically located at 2321 N Wisconsin Ave, in the city of Peoria, IL, with the postal code 616035613.
What is David C Holden's specialized field of practice, and what is the corresponding taxonomy classification code?
The David C Holden's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the David C Holden receive its 1720094816 assignment from the Centers for Medicare & Medicaid Services?
The David C Holden was assigned its 1720094816 by the Centers for Medicare & Medicaid Services on 2006-07-31.
As of what date was the information pertaining to David C Holden, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to David C Holden, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-07-16.