Holaday, Clinton R

Holaday, Clinton R is an individual health care provider with primary practice located at 319 E Madison St Ste 2D , Springfield IL 62701-3120. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Holaday, Clinton R can be contacted via phone (217) 508-5859.

Contact Information

Primary practice address
319 E Madison St Ste 2D Springfield IL 62701-3120
Phone: (217) 508-5859
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2017039564 Missouri
Allopathic & Osteopathic Physicians / General Practice 208D00000X 036145002 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036145002 Illinois

Profile Details

NPI number 1477997369
LBN Legal business name Holaday, Clinton R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2013
Last updated Feb 2nd, 2023 - about 3 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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