Holdermann, James Shawn

Holdermann, James Shawn is an individual health care provider with primary practice located at 490 Murphy Rd , Medford OR 97504-8144. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Holdermann, James Shawn can be contacted via phone (541) 779-5227.

Contact Information

Primary practice address
490 Murphy Rd Medford OR 97504-8144
Phone: (541) 779-5227
Fax: (541) 779-1938
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X DP00351 Oregon

Profile Details

NPI number 1902824253
LBN Legal business name Holdermann, James Shawn
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jul 22nd, 2008 - about 18 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 1902824253 NPPES
Oregon MEDICAID 299111

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