Holder, Mark S

Holder, Mark S is an sole proprietor health care provider with primary practice located at 11607 N Evans Mill Rd , Princeville IL 61559-9179. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Holder, Mark S can be contacted via phone (309) 243-5086.

Contact Information

Primary practice address
11607 N Evans Mill Rd Princeville IL 61559-9179
Phone: (309) 243-5086
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Illinois

Profile Details

NPI number 1831384494
LBN Legal business name Holder, Mark S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2007
Last updated Sep 7th, 2007 - about 19 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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