Benjamin T Holt
Orthopaedic Surgeon Adult Reconstructive Orthopaedic Surgeon
1 S Keene St
Columbia
, Missouri 65201-7199
Benjamin T Holt
Orthopaedic Surgeon Adult Reconstructive Orthopaedic Surgeon
1 S Keene St
Columbia
, Missouri 65201-7199
(573) 443-0574
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About
Features
Specialties
- Orthopaedic Surgeon
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Benjamin T Holt
- 1 S Keene St
- Columbia, MO
- Zip : 65201-7199
- Fax : (573) 443-0574
- Phone : (573) 443-2402
Second Address
- Benjamin T Holt
- 1 S Keene St
- Columbia, MO
- Zip : 65201-7199
- Fax : (573) 443-0574
- Phone : (573) 443-2402
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | 106633 | MO |
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 106633 | MO |
National Provider Identifier
| NPI | 1508859141 |
|---|---|
| Provider Name | Benjamin T Holt |
| First Address | Columbia, MO 65201-7199 |
| Second Address | Columbia, MO 65201-7199 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/08/2005 |
| Last Update Date | 19/04/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 207795105 | (05) | MO |
| F61020 | (02) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.