Provider Demographics
NPI:1962858035
Name:HOLSINGER, GILLIAN M
Entity Type:Individual
Prefix:
First Name:GILLIAN
Middle Name:M
Last Name:HOLSINGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 7TH ST W
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:ND
Mailing Address - Zip Code:58801-5120
Mailing Address - Country:US
Mailing Address - Phone:218-289-2583
Mailing Address - Fax:
Practice Address - Street 1:220 7TH ST W
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:ND
Practice Address - Zip Code:58801-5120
Practice Address - Country:US
Practice Address - Phone:218-289-2583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-09
Last Update Date:2016-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator