Provider Demographics
NPI:1932163235
Name:HOLMES, ALISON V (MD, MPH, FAAP)
Entity Type:Individual
Prefix:DR
First Name:ALISON
Middle Name:V
Last Name:HOLMES
Suffix:
Gender:F
Credentials:MD, MPH, FAAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MEDICAL CENTER DR
Mailing Address - Street 2:PEDIATRIC HOSPITAL MEDICINE
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03756-1000
Mailing Address - Country:US
Mailing Address - Phone:603-653-6050
Mailing Address - Fax:
Practice Address - Street 1:1 MEDICAL CENTER DR
Practice Address - Street 2:PEDIATRIC HOSPITAL MEDICINE
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03756-1000
Practice Address - Country:US
Practice Address - Phone:603-653-6050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH13012208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1020891Medicaid
NH3073632Medicaid
VT1020891Medicaid
NH30205837Medicaid
NH222594672OtherMARTINS POINT INSURANCE
NH222594672OtherUNITED HEALTH CARE
NH222594672OtherGREATWEST HEALTHCARE
NHRE8620Medicare ID - Type Unspecified
NHI11804Medicare UPIN
NH01Y010092NH01OtherANTHEM INSURANCE
NH222594672OtherTRICARE INSURANCE
NH8092705OtherCIGNA INSURANCE
NH7640575OtherAETNA INSURANCE