Holt, Douglas
Holt, Douglas is an sole proprietor health care provider with primary practice located at 1250 E 3900 S Ste B10 , Salt Lake City UT 84124-1348. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Holt, Douglas can be contacted via phone (801) 456-8401.Contact Information
Primary practice address
1250 E 3900 S Ste B10
Salt Lake City UT 84124-1348
Phone: (801) 456-8401
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 13723A | Wyoming |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | M-15792 | Idaho |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Utah | |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 12250382-1205 | Utah |
Profile Details
| NPI number | 1417310046 |
|---|---|
| LBN Legal business name | Holt, Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 31st, 2016 |
| Last updated | Feb 16th, 2022 - about 3 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 | 1417310046 | NPPES |
| Wyoming | Other | 13723A | WY MD LICENSE |
| Wyoming | Other | 12250382-1205 | WY MD LICENSE |
| Wyoming | Other | M-15792 | WY MD LICENSE |
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