Nicholas Ray Von Holten PA-C

  • NPI 1063054278
According to our database, the NPI number for Nicholas Ray Von Holten PA-C is 1063054278 and activated since 4 years ago. Nicholas Ray Von Holten PA-C is an individual provider who specializes in Physician Assistant, and the primary practice location is 1111 Trinity Ln Ste 111, Bloomington, IL 61704. You can also contact Nicholas Ray Von Holten PA-C via telephone number is (309) 663-6461. Provider NPI information was last updated on 10/09/2019.

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Overview of Nicholas Ray Von Holten PA-C

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 10/09/2019
  • Last updated: 10/09/2019

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 085.007292
  • License State: IL

Provider Mailing Address

  • Address: 21 Prenzler Dr
    Bloomington, IL 61704
  • Phone: 309-824-6658
  • Fax:

Provider Practice Location

  • Address: 1111 Trinity Ln Ste 111
    Bloomington, IL 61704
  • Phone: 309-663-6461
  • Fax:

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 085.007292
  • License State: IL
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Nicholas Ray Von Holten PA-C?
  • A: The npi number for Nicholas Ray Von Holten PA-C is 1063054278.
  • Q: What are Nicholas Ray Von Holten PA-C's specialties?
  • A: Nicholas Ray Von Holten PA-C's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Nicholas Ray Von Holten PA-C?
  • A: The medical license number for Nicholas Ray Von Holten PA-C is 085.007292 and issued in IL in USA.
  • Q: Where is Nicholas Ray Von Holten PA-C practice location?
  • A: Nicholas Ray Von Holten PA-C is practicing at 1111 Trinity Ln Ste 111, Bloomington, IL 61704.
  • Q: How to contact Nicholas Ray Von Holten PA-C?
  • A: You can contact Nicholas Ray Von Holten PA-C via 309-663-6461.
Medicare Specialty
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Clinical Pharmacology
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Ph.D. Medical Genetics
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Clinical Nurse Specialist
Family Health
Nurse Massage Therapist
Sports Medicine
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Content provided by MDNPI.com mainly comes from Centers for Medicare & Medicaid Services (CMS) published data and the FOIA-disclosable NPPES health care provider data file.