Holthaus, Andrea M

Holthaus, Andrea M is an individual health care provider with primary practice located at 3009 N Ballas Rd Ste 383C , Saint Louis MO 63131-2324. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Holthaus, Andrea M can be contacted via phone (314) 996-4545.

Contact Information

Primary practice address
3009 N Ballas Rd Ste 383C Saint Louis MO 63131-2324
Phone: (314) 996-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 2004011870 Missouri
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2004011870 Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2004011870 Missouri

Profile Details

NPI number 1528031473
LBN Legal business name Holthaus, Andrea M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Jun 22nd, 2021 - about 5 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 1528031473 NPPES
Illinois MEDICAID 1528031473
Illinois MEDICAID 209226109

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