Roger Holman in Coopersville - Family Medicine

Roger Holman - NPI 1073518270

Roger Holman is a Family Medicine in Coopersville, Michigan. Roger Holman practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Roger Holman is 1073518270. The last update date is 2012-12-13.

Roger Holman's current location address is 675 W Randall St, Coopersville, Michigan. You can contact this provider via phone number 6168379777 and fax number 6168377813. The mailing address for Roger Holman is 675 W Randall St, Coopersville, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Roger Holman
Address 675 W Randall St, Coopersville, Michigan
Phone Number 6168379777
Fax Number 6168377813
Sole Proprietor Y
Credentials DO

NPI Number Detail

NPI Number 1073518270
Provider Enumeration Date 2005-06-15
Last Updated Date 2012-12-13

Provider Mailing Address Detail

Address 675 W Randall St
City Coopersville
State Michigan (MI)
Post Code 4940413050
Phone Number 6168379777
Fax Number 6168377813

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 5101006733
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0N27520 MI MEDICARE MCUG GROUP
N27520004 MI MEDICARE MGUC INDIVIDUAL
5703574 MI BCBSMI
27003 MI PRIORITY HEALTH HMO
4313667 MI --
P57675 MI BLUES HMO'S
RH006733 BCBS
112730992 MI --

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FAQs about Roger Holman

What is the unique 10-digit identification code issued to Roger Holman by the Centers for Medicare & Medicaid Services?

The Roger Holman has been assigned the NPI (National Provider Identifier) 1073518270 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Roger Holman's physical address?

The Roger Holman is physically located at 675 W Randall St, in the city of Coopersville, MI, with the postal code 4940413050.

What is Roger Holman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Roger Holman is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.

When did Roger Holman receive its 1073518270 assignment?

The Roger Holman was assigned its 1073518270 on 2005-06-15, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Roger Holman most recently updated or revised?

The information pertaining to Roger Holman, including its address, specialty, and other relevant details, was last updated or revised on 2012-12-13.

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