Healthcare Provider Details

I. General information

NPI: 1649459371
Provider Name (Legal Business Name): JOHN E HOLMAN, MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2007
Last Update Date: 10/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ROSS PARK BLVD SUITE 202
STEUBENVILLE OH
43952-2681
US

IV. Provider business mailing address

PO BOX 3032
WEIRTON WV
26062-7032
US

V. Phone/Fax

Practice location:
  • Phone: 740-283-3022
  • Fax: 740-283-4659
Mailing address:
  • Phone: 740-282-2576
  • Fax: 740-282-2239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number35031533
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number35031533
License Number StateOH

VIII. Authorized Official

Name: JOHN EDWARD HOLMAN
Title or Position: OWNER
Credential: MD
Phone: 740-283-3022