Holder, Larry W

Holder, Larry W is an individual health care provider with primary practice located at 751 N Rutledge St Ste 1100, Springfield IL 62702-4968. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Holder, Larry W can be contacted via phone (217) 545-0182.

Contact Information

Primary practice address
751 N Rutledge St Ste 1100 Springfield IL 62702-4968
Phone: (217) 545-0182
Fax: (217) 545-4735
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036076848 Illinois
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 036076848 Illinois

Profile Details

NPI number 1417914326
LBN Legal business name Holder, Larry W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Apr 12th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417914326 NPPES
Illinois MEDICAID 036076848

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