Holthouse, Mark E.

Holthouse, Mark E. is an sole proprietor health care provider with primary practice located at 3104 Ponte Morino Drive Ste 110, Cameron Park CA 95682. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Holthouse, Mark E. can be contacted via phone (530) 676-1003.

Contact Information

Primary practice address
3104 Ponte Morino Drive Ste 110 Cameron Park CA 95682
Phone: (530) 676-1003
Fax: (530) 676-7350
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G757170 California

Profile Details

NPI number 1740217207
LBN Legal business name Holthouse, Mark E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2006
Last updated Dec 3rd, 2008 - about 18 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 1740217207 NPPES
California MEDICAID GR0070790

Popular Providers