Provider Demographics
NPI:1427045335
Name:HOLMAN, JOHN E (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:E
Last Name:HOLMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3032
Mailing Address - Street 2:
Mailing Address - City:WEIRTON
Mailing Address - State:WV
Mailing Address - Zip Code:26062-7032
Mailing Address - Country:US
Mailing Address - Phone:740-283-3022
Mailing Address - Fax:740-283-4659
Practice Address - Street 1:1 ROSS PARK BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-2681
Practice Address - Country:US
Practice Address - Phone:740-283-3022
Practice Address - Fax:740-283-4659
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-05
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35031533207V00000X
WV08874207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0118036Medicaid
OHA71424Medicare UPIN
OH0118036Medicaid