Elizabeth Koontz Holland in Charlotte - Medical

Elizabeth Koontz Holland - NPI 1750366886

Elizabeth Koontz Holland is a Medical in Charlotte, North Carolina. Elizabeth Koontz Holland practices all healthcare services and medical treatments related to Medical. The NPI Number for Elizabeth Koontz Holland is 1750366886. The last update date is 2012-06-13.

Elizabeth Koontz Holland's current location address is Po Box 602658, Charlotte, North Carolina. You can contact this provider via phone number 3367162255 and fax number 3367135424. The mailing address for Elizabeth Koontz Holland is Po Box 602658, Charlotte, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Elizabeth Koontz Holland
Address Po Box 602658, Charlotte, North Carolina
Phone Number 3367162255
Fax Number 3367135424
Sole Proprietor N
Credentials PAC

NPI Number Detail

NPI Number 1750366886
Provider Enumeration Date 2005-12-13
Last Updated Date 2012-06-13

Provider Mailing Address Detail

Address Po Box 602658
City Charlotte
State North Carolina (NC)
Post Code 282602658
Phone Number 3367162255
Fax Number 3367135424

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 101509
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7338641 AETNA
94676 NC MEDCOST

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FAQs about Elizabeth Koontz Holland

What is the unique identification code assigned to Elizabeth Koontz Holland by the Centers for Medicare & Medicaid Services?

The Elizabeth Koontz Holland has been issued the NPI (National Provider Identifier) 1750366886. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Elizabeth Koontz Holland is geographically located?

The Elizabeth Koontz Holland is physically situated at the following location: Po Box 602658, Charlotte, NC, 282602658.

What is Elizabeth Koontz Holland's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Elizabeth Koontz Holland's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.

On what date did the Elizabeth Koontz Holland receive its 1750366886 assignment from the Centers for Medicare & Medicaid Services?

The Elizabeth Koontz Holland was assigned its 1750366886 by the Centers for Medicare & Medicaid Services on 2005-12-13.

As of what date were the details pertaining to Elizabeth Koontz Holland last refreshed?

The information related to the Elizabeth Koontz Holland, including its address, specialty, and other relevant details, was last updated on 2012-06-13.

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