Healthcare Provider Details

I. General information

NPI: 1235578139
Provider Name (Legal Business Name): JOSHUA KEVIN HOLLINGER D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2013
Last Update Date: 01/04/2021
Certification Date: 01/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 PLEASANT VALLEY RD
YORK PA
17402-9627
US

IV. Provider business mailing address

2300 PLEASANT VALLEY RD
YORK PA
17402-9627
US

V. Phone/Fax

Practice location:
  • Phone: 717-757-3537
  • Fax: 717-718-9701
Mailing address:
  • Phone: 717-757-3537
  • Fax: 717-718-9701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberSC006470
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: