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Contact Information

EDWARD J HOLLAND, MD
580 S LOOP RD
SUITE 200
EDGEWOOD, KY41017-3415
 Phone: 513-569-3741
 Fax: 513-569-3941
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for EDWARD J HOLLAND · (Male)

NPI Number 1720021199
Status Active
Credentials MD
Entity Individual
Enumeration date 06/14/2006
Last updated 07/06/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 35605
  • OH License # 35077410
  • IN Medicaid 200259180
  • KY Medicaid 64004476
  • NY Medicaid 01484326
  • OH Medicaid 2152316
  • TN Medicaid 4046569
  • WI Medicaid 81958100
  • WV Medicaid 3810009070
  • Other 000000075280 BCBS
  • KY Other 180038906 RAILROAD MEDICARE
  • OH Other 180038905 RAILROAD MEDICARE
Hospital affiliation(s)
  • ST ELIZABETH MEDICAL CENTER NORTH - (Acute Care)
    1 MEDICAL VILLAGE DRIVE
    LAKESIDE PARK, KY 41017
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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