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Contact Information

JASON G HOLMAN, MD
UNIVERSITY OF MISSOURI HOSPITAL 1 HOSPITAL DR DC032.00
COLUMBIA, MO65212-5822
 Phone: 573-882-2100
 Fax: 573-884-6109
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JASON G HOLMAN · (Male)

NPI # 1912009861
Status Active
Credentials MD
Entity Individual
Enumeration date 09/02/2006
Last updated 06/15/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2020019644
  • MO License # T2004016534
  • TX License # N0102
  • TX Medicaid 195606201
  • TX Medicaid 195606202
  • TX Medicaid 195606203
  • TX Medicaid 195606204
  • TX Other 8BC073 BCBS
  • TX Other 8CS941 BCBS
  • TX Other 8CM740 BCBS MFH JACKSONVILLE LOCATION
  • TX Other 8CM273 BCBS MFH WINNSBORO LOCATION
  • TX Other 75-0818167-015 TRICARE
  • TX Other 75-0818167-048 TRICARE
  • TX Other TIN PLUS 028 TRICARE
  • TX Other TIN PLUS SUFFIX 001 TRICARE
  • TX Other 751976930005 TRICARE MFH JACKSONVILLE
  • TX Other 750818167044 TRICARE MFH WINNSBORO
  • TX Other TIN PLUS 002 TRICARE TC LAKE PALESTINE
  • TX Other TIN PLUS 022 TRICARE TYLER DIRECT CARE LOCATION
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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