Larry W Holder
Internist Internist - Addiction Medicine
751 N Rutledge St Ste 1100
Springfield
, Illinois 62702-4968
Larry W Holder
Internist Internist - Addiction Medicine
751 N Rutledge St Ste 1100
Springfield
, Illinois 62702-4968
(217) 545-4735
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About
Features
Specialties
- Internist
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Larry W Holder
- Po Box 19636
- Springfield, IL
- Zip : 62794-9636
- Fax : (217) 545-4735
- Phone : (217) 545-0182
Second Address
- Larry W Holder
- 751 N Rutledge St Ste 1100
- Springfield, IL
- Zip : 62702-4968
- Fax : (217) 545-4735
- Phone : (217) 545-0182
Reviews
FAQs
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What type of doctor is Larry W Holder
In what state does Larry W Holder practice in?
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Is Larry W Holder accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | 036076848 | IL |
| Y | 111NI0900X | Internist | 036076848 | IL |
| N | 207RA0401X | Internist - Addiction Medicine | 036076848 | IL |
National Provider Identifier
| NPI | 1417914326 |
|---|---|
| Provider Name | Larry W Holder |
| First Address | Springfield, IL 62794-9636 |
| Second Address | Springfield, IL 62702-4968 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/04/2006 |
| Last Update Date | 12/04/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036076848 | (05) | IL |
| C43041 | (02) | IL |
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.