Holder, Timothy W.

Holder, Timothy W. is an individual health care provider with primary practice located at 2025 E 71St Street , Tulsa OK 74136-5407. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Holder, Timothy W. can be contacted via phone (918) 728-7586.

Contact Information

Primary practice address
2025 E 71St Street Tulsa OK 74136-5407
Phone: (918) 728-7586
Fax: (918) 508-7032
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 19951 Oklahoma
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 19951 Oklahoma

Profile Details

NPI number 1275537516
LBN Legal business name Holder, Timothy W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Jun 26th, 2020 - about 5 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 1275537516 NPPES
Oklahoma MEDICAID 0458450140

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