Provider Demographics
NPI:1093916009
Name:JAMES F. HOLSINGER M.D.
Entity Type:Organization
Organization Name:JAMES F. HOLSINGER M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:G
Authorized Official - Last Name:HOLSINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-524-4300
Mailing Address - Street 1:1603 MORGAN ST
Mailing Address - Street 2:SUITE #3
Mailing Address - City:KEOKUK
Mailing Address - State:IA
Mailing Address - Zip Code:52632-3433
Mailing Address - Country:US
Mailing Address - Phone:319-524-4300
Mailing Address - Fax:319-524-4424
Practice Address - Street 1:1603 MORGAN ST
Practice Address - Street 2:SUITE #3
Practice Address - City:KEOKUK
Practice Address - State:IA
Practice Address - Zip Code:52632-3433
Practice Address - Country:US
Practice Address - Phone:319-524-4300
Practice Address - Fax:319-524-4424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1134152531OtherINDIVIDUAL NPI
IA282210Medicaid
IA34923OtherIOWA MEDICAL LICENSE
IA34923OtherIOWA MEDICAL LICENSE
IL208144Medicare ID - Type UnspecifiedILLINOIS MEDICARE
IAI8925Medicare ID - Type Unspecified