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Contact Information

JEAN A HOLDREN DO PC
16687 ST CLAIR AVE
SUITE 108
EAST LIVERPOOL, OH43920
 Phone: 330-386-5004
 Fax: 330-386-6355
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JEAN A HOLDREN DO PC

NPI Number 1497766554
LBN Legal business name JEAN A HOLDREN DO PC
Authorized official JEAN HOLDREN - (PHYSICIAN OWNER OF PRACTICE)
Entity Organization
Organization subpart 1 No
Enumeration date 08/11/2006
Last updated 09/21/2011 - About 15 years ago
Identifiers
OH License # 34006738
PA License # 0S009111L
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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