Holleman, Jeremiah Henry

Holleman, Jeremiah Henry is an individual health care provider with primary practice located at 1000 Blythe Blvd 4Th Floor, Charlotte NC 28203-5812. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Holleman, Jeremiah Henry can be contacted via phone (704) 355-8188.

Contact Information

Primary practice address
1000 Blythe Blvd 4Th Floor Charlotte NC 28203-5812
Phone: (704) 355-8188
Fax: (704) 355-8192
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 28044 North Carolina
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 28044 North Carolina

Profile Details

NPI number 1891707675
LBN Legal business name Holleman, Jeremiah Henry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Apr 28th, 2014 - 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 1891707675 NPPES
North Carolina Other 43110 BCBS
North Carolina MEDICAID 7943110 BCBS
North Carolina MEDICAID 1891707675 BCBS
North Carolina Other P00245246 BCBS
North Carolina MEDICAID N28044 BCBS

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