Dr. Craig D Holman
Primary Podiatric Medicine
496 Shoup Ave W Ste B
Twin Falls
, Idaho 83301-5043
Dr. Craig D Holman
Primary Podiatric Medicine
496 Shoup Ave W Ste B
Twin Falls
, Idaho 83301-5043
(208) 736-8378
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Craig D Holman
- 496 Shoup Ave W Ste B
- Twin Falls, ID
- Zip : 83301-5043
- Fax : (208) 736-8378
- Phone : (208) 734-7676
Second Address
- Dr. Craig D Holman
- 496 Shoup Ave W Ste B
- Twin Falls, ID
- Zip : 83301-5043
- Fax : (208) 736-8378
- Phone : (208) 734-7676
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | P119 | ID |
National Provider Identifier
| NPI | 1093924813 |
|---|---|
| Provider Name | Dr. Craig D Holman |
| First Address | Twin Falls, ID 83301-5043 |
| Second Address | Twin Falls, ID 83301-5043 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/05/2007 |
| Last Update Date | 03/08/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000010015646 | REGENCE BLUE SHIELD OF ID (01) | ID |
| 002143900 | (05) | ID |
| 1093924813 | (05) | ID |
| 4134570001 | DMERC (01) | ID |
| 480031477 | RAILROAD MEDICARE (01) | ID |
| 820491190 | PRIVATE INSURANCES (01) | ID |
| P2397 | BLUE CROSS OF IDAHO (01) | ID |
| T44262 | (02) | ID |
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.