Holton, Jacob Peter

Holton, Jacob Peter is an individual health care provider with primary practice located at 2200 E Washington St , Bloomington IL 61701-4364. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Holton, Jacob Peter can be contacted via phone (309) 662-3311.

Contact Information

Primary practice address
2200 E Washington St Bloomington IL 61701-4364
Phone: (309) 662-3311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 125070487 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036.152725 Illinois

Profile Details

NPI number 1821527201
LBN Legal business name Holton, Jacob Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2017
Last updated Jul 21st, 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.

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