Provider Demographics
NPI:1134152531
Name:JAMES F HOLSINGER MD PC
Entity type:Organization
Organization Name:JAMES F HOLSINGER MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:F
Authorized Official - Last Name:HOLSINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MDPC
Authorized Official - Phone:319-524-4300
Mailing Address - Street 1:1603 MORGAN STREET
Mailing Address - Street 2:SUITE 3
Mailing Address - City:KEOKUK
Mailing Address - State:IA
Mailing Address - Zip Code:52632
Mailing Address - Country:US
Mailing Address - Phone:319-524-4300
Mailing Address - Fax:319-524-4424
Practice Address - Street 1:1603 MORGAN STREET
Practice Address - Street 2:SUITE 3
Practice Address - City:KEOKUK
Practice Address - State:IA
Practice Address - Zip Code:52632
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:2006-07-08
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA34923207Q00000X
IL207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL208144OtherIL MEDICARE
IA0288210Medicaid
IL=========OtherIL MEDICAID
IL=========OtherIL MEDICAID
H79888Medicare UPIN