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Contact Information

NATHAN P HOLLAND, PA
1227 E RUSHOLME ST
DAVENPORT, IA52803-2459
 Phone: 563-421-3990
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for NATHAN P HOLLAND · (Male)

NPI Number 1679828651
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 07/17/2012
Last updated 06/21/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MO License # 2024010639
  • WI License # 2996
Hospital affiliation(s)
  • GENESIS MEDICAL CENTER-DAVENPORT - (Acute Care)
    1227 EAST RUSHOLME STREET
    DAVENPORT, IA 52803
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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