Provider Demographics
NPI:1457435075
Name:HOLTMAN, HELEN A (MD)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:A
Last Name:HOLTMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HELEN
Other - Middle Name:A
Other - Last Name:HOLTMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2201 NW WASHINGTON BLVD
Mailing Address - Street 2:STE A
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013
Mailing Address - Country:US
Mailing Address - Phone:513-869-7000
Mailing Address - Fax:513-785-4272
Practice Address - Street 1:2201 NW WASHINGTON BLVD
Practice Address - Street 2:STE A
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013
Practice Address - Country:US
Practice Address - Phone:513-869-7000
Practice Address - Fax:513-785-4272
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35065572H2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0146970Medicaid
OH0146970Medicaid
HO0749792Medicare ID - Type Unspecified