Provider Demographics
NPI:1487004784
Name:WILLIAM C HOLVIK MD A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:WILLIAM C HOLVIK MD A PROFESSIONAL CORPORATION
Other - Org Name:HOLVIK FAMILY HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SAHAR
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLVIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-732-4726
Mailing Address - Street 1:221 E CALDWELL AVE
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-7605
Mailing Address - Country:US
Mailing Address - Phone:559-732-4726
Mailing Address - Fax:559-733-4151
Practice Address - Street 1:221 E CALDWELL AVE
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-7605
Practice Address - Country:US
Practice Address - Phone:559-732-4726
Practice Address - Fax:559-733-4151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-16
Last Update Date:2016-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G724590Medicare PIN