Holstein, Douglas Lynn

Holstein, Douglas Lynn is an individual health care provider with primary practice located at 519 Broad St Suite 106, Rome GA 30161-1734. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Holstein, Douglas Lynn can be contacted via phone (706) 767-8347.

Contact Information

Primary practice address
519 Broad St Suite 106 Rome GA 30161-1734
Phone: (706) 767-8347
Fax: (404) 393-4033
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN116971 Georgia

Profile Details

NPI number 1538155957
LBN Legal business name Holstein, Douglas Lynn
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated May 4th, 2015 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1538155957 NPPES
Georgia MEDICAID 000607384C

Popular Providers