Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | MD051973L | PA |
NPI | 1407874647 |
---|---|
Provider Name | Dr. Michele Y Holding |
First Address | Spring City, PA 19475 |
Second Address | Phoenixville, PA 19460 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 04/12/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G04483 | (02) | PA |