Holland, Fred W
Holland, Fred W is an individual health care provider with primary practice located at 1000 Dutch Ridge Rd , Beaver PA 15009-9727. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Holland, Fred W can be contacted via phone (724) 773-8289.Contact Information
Primary practice address
1000 Dutch Ridge Rd
Beaver PA 15009-9727
Phone: (724) 773-8289
Fax: (724) 773-4532
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | MD070887L | Pennsylvania |
Profile Details
| NPI number | 1699754440 |
|---|---|
| LBN Legal business name | Holland, Fred W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2006 |
| Last updated | Nov 25th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699754440 | NPPES |
| South Carolina | Other | AA23118552 | MEDICARE PTAN |
| South Carolina | MEDICAID | 0312647 | MEDICARE PTAN |
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