Doctor Name: | SETH JAMES HOLMAN |
NPI Number: | 1437429693 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 0010-03245 |
Business Practice Address: | 154 Health Partners Cir Mount Orab, OH - 451548611 |
Business Phone Number: | 5139814700 |
Business Fax Number: | 9376194150 |
Mailing Address: | 4750 Hempstead Station Dr, KETTERING |
State: | OH |
Postal Code: | 454295164 |
Phone Number: | 8008750136 |
Fax Number: | 9376194150 |
NPI Enumeration Date: | 01/05/2012 |
NPI Last Update Date: | 10/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 0010-03245 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |