Holthaus, Mary
Holthaus, Mary is an individual health care provider with primary practice located at 122 Defense Hwy Ste 210 , Annapolis MD 21401-7071. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Holthaus, Mary can be contacted via phone (410) 266-9694.Contact Information
Primary practice address
122 Defense Hwy Ste 210
Annapolis MD 21401-7071
Phone: (410) 266-9694
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | C07349 | Maryland |
Profile Details
| NPI number | 1285296913 |
|---|---|
| LBN Legal business name | Holthaus, Mary |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2019 |
| Last updated | Jan 19th, 2023 - 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 | 1285296913 | NPPES |
| Maryland | Other | C07349 | MARYLAND BOARD OF PHYSICIANS |
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