Provider Demographics
NPI:1750506556
Name:HELEN HOLTMAN, M.D. AND ASSOCIATES INC.
Entity Type:Organization
Organization Name:HELEN HOLTMAN, M.D. AND ASSOCIATES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:HOLTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-869-7000
Mailing Address - Street 1:2201 NW WASHINGTON BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-5834
Mailing Address - Country:US
Mailing Address - Phone:513-869-7000
Mailing Address - Fax:511-378-5427
Practice Address - Street 1:2201 NW WASHINGTON BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-5834
Practice Address - Country:US
Practice Address - Phone:513-869-7000
Practice Address - Fax:511-378-5427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35065572H2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0146970Medicaid
OHF38773Medicare UPIN
OH9303391Medicare PIN