Healthcare Provider Details

I. General information

NPI: 1750506556
Provider Name (Legal Business Name): HELEN HOLTMAN, M.D. AND ASSOCIATES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2007
Last Update Date: 02/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 NW WASHINGTON BLVD SUITE A
HAMILTON OH
45013-5834
US

IV. Provider business mailing address

2201 NW WASHINGTON BLVD SUITE A
HAMILTON OH
45013-5834
US

V. Phone/Fax

Practice location:
  • Phone: 513-869-7000
  • Fax: 511-378-5427
Mailing address:
  • Phone: 513-869-7000
  • Fax: 511-378-5427

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number35065572H
License Number StateOH

VIII. Authorized Official

Name: DR. HELEN A HOLTMAN
Title or Position: OWNER
Credential: MD
Phone: 513-869-7000