Holt, Roger

Holt, Roger is an individual health care provider with primary practice located at 445 Lenox Rd , Brooklyn NY 11203-2017. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Holt, Roger can be contacted via phone (718) 245-4890.

Contact Information

Primary practice address
445 Lenox Rd Brooklyn NY 11203-2017
Phone: (718) 245-4890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 218282-1 New York

Profile Details

NPI number 1902896244
LBN Legal business name Holt, Roger
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Jul 8th, 2007 - about 19 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 1902896244 NPPES
New York MEDICAID 02117182

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