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Contact Information

CHARLES E HOLTZ JR, IDMT
1599 J ST
GRAND FORKS AFB, ND58205-6306
 Phone: 701-747-5504
 Fax: 701-747-5923
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Independent Duty Medical Technicians

1710I1003X
Indicates primary specialty

NPI Profile & details for CHARLES E HOLTZ JR · (Male)

NPI Number 1104050657
Status Active
Credentials IDMT
Entity Individual
Enumeration date 05/13/2009
Last updated 05/13/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers Not Available
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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